Terrell Jenrette, | |
1650 Chattahoochee Dr, Rockmart, GA 30153-2023 | |
(770) 684-7846 | |
Not Available |
Full Name | Terrell Jenrette |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1650 Chattahoochee Dr, Rockmart, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306471685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 94161 (Georgia) | Primary |
207Q00000X | Family Medicine | UNKNOWN (Georgia) | Secondary |
Entity Name | Floyd Healthcare Management Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689610149 PECOS PAC ID: 5193633386 Enrollment ID: O20040127000897 |
Mailing Address | Practice Location Address |
---|---|
Terrell Jenrette, 420 E 2nd Ave Ste 103, Rome, GA 30161-3210 Ph: (706) 509-3000 | Terrell Jenrette, 1650 Chattahoochee Dr, Rockmart, GA 30153-2023 Ph: (770) 684-7846 |
Danielle Yvonne Epanchin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Chattahoochee Dr, Rockmart, GA 30153 Phone: 770-684-7846 | |
Mary F. Dailey-smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1008 N Piedmont Ave, Rockmart, GA 30153 Phone: 770-684-6100 Fax: 770-684-8294 | |
Dr. Umpon Sangmalee, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 826 C West Elm St, Rockmart, GA 30153 Phone: 770-684-5348 Fax: 770-684-5349 | |
Gregory J. Matechak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Chattahoochee Dr, Rockmart, GA 30153 Phone: 770-684-6100 Fax: 770-684-7522 |