Nicole Pritchett Jimerson, DO | |
1502 W 3rd St, Jackson, GA 30233-1979 | |
(770) 914-0116 | |
Not Available |
Full Name | Nicole Pritchett Jimerson |
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Gender | Female |
Speciality | Family Medicine |
Location | 1502 W 3rd St, Jackson, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891372298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 97398 (Georgia) | Primary |
Entity Name | Aylo Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013018811 PECOS PAC ID: 8022901925 Enrollment ID: O20040204000918 |
Mailing Address | Practice Location Address |
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Nicole Pritchett Jimerson, DO 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339-3304 Ph: (770) 914-0116 | Nicole Pritchett Jimerson, DO 1502 W 3rd St, Jackson, GA 30233-1979 Ph: (770) 914-0116 |
Peter Izzo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1502 W 3rd St, Jackson, GA 30233 Phone: 678-774-0430 Fax: 770-775-3410 | |
Bennie R. White Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 794 Mcdonough Rd, Suite 105, Jackson, GA 30233 Phone: 770-775-2341 Fax: 770-775-3668 | |
Jorge Luis Moreno Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Mcdonough Rd, Jackson, GA 30233 Phone: 770-775-4622 Fax: 770-775-4132 | |
Carol M Odegaard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 261 Brookwood Ave, Jackson, GA 30233 Phone: 678-752-0555 Fax: 678-752-0556 | |
Aleta Maria Gardner, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2978 Highway 36 W, Jackson, GA 30233 Phone: 770-504-2168 Fax: 770-504-2140 | |
Dr. Latora Williams, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1502 W 3rd St, Jackson, GA 30233 Phone: 770-914-0116 |