Angelito Henrito K Jao Md Pc | |
333 Alcovy St Ste 3 Monroe GA 30655-2180 | |
(770) 267-4711 | |
(770) 267-7320 |
Full Name | Angelito Henrito K Jao Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 333 Alcovy St, Monroe, Georgia |
Authorized Official Name and Position | Angelito Henrito K Jao (PRESIDENT) |
Authorized Official Contact | 7702674711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Angelito Henrito K Jao Md Pc Po Box 1089 Monroe GA 30655-1089 Ph: (770) 267-4711 | Angelito Henrito K Jao Md Pc 333 Alcovy St Ste 3 Monroe GA 30655-2180 Ph: (770) 267-4711 |
NPI Number | 1548252125 |
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Provider Enumeration Date | 08/18/2005 |
Last Update Date | 09/18/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548252125 | NPI | - | NPPES |
905606 | Other | SOUTHCARE | |
52237698001 | Other | GA | BLUE CROSS/BLUE SHIELD |
00349027A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 029685 (Georgia) | Primary |
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