| Gordon Behavioral Sciences P.c. | |
|
1013 N 5th Ave Ne Ste 4 Rome GA 30165-2664 | |
| (706) 234-0034 | |
| (678) 348-7595 |
| Full Name | Gordon Behavioral Sciences P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1013 N 5th Ave Ne Ste 4, Rome, Georgia |
| Authorized Official Name and Position | Frank G. Pratt (OWNER) |
| Authorized Official Contact | 7062340034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Behavioral Sciences P.c. 109 John Maddox Dr Nw Rome GA 30165-1451 Ph: (706) 234-0034 | Gordon Behavioral Sciences P.c. 1013 N 5th Ave Ne Ste 4 Rome GA 30165-2664 Ph: (706) 234-0034 |
| NPI Number | 1447426200 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Medicare PECOS PAC ID | 0749359198 |
|---|---|
| Medicare Enrollment ID | O20080527000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447426200 | NPI | - | NPPES |
| 000227488C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 18538 (Georgia) | Primary |
| Provider Name | Frank G Pratt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760564173 PECOS PAC ID: 8628040185 Enrollment ID: I20040806000500 |
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