| Bowdon Family Medicine Llc | |
|
307 W College St Bowdon GA 30108-1309 | |
| (770) 328-2006 | |
| Not Available |
| Full Name | Bowdon Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 307 W College St, Bowdon, Georgia |
| Authorized Official Name and Position | Robert C Salter (NURSE PRACTITIONER) |
| Authorized Official Contact | 7703282006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowdon Family Medicine Llc 307 W College St Bowdon GA 30108-1309 Ph: (770) 328-2006 | Bowdon Family Medicine Llc 307 W College St Bowdon GA 30108-1309 Ph: (770) 328-2006 |
| NPI Number | 1972936805 |
|---|---|
| Provider Enumeration Date | 08/14/2013 |
| Last Update Date | 08/14/2013 |
| Medicare PECOS PAC ID | 3971738519 |
|---|---|
| Medicare Enrollment ID | O20131106001556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972936805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 65367 (Georgia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | RN 141751 (Georgia) | Secondary |
| Provider Name | Robert C Salter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699789644 PECOS PAC ID: 4284758723 Enrollment ID: I20131003000097 |
| Provider Name | Michael G Gaines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497778047 PECOS PAC ID: 2062450794 Enrollment ID: I20170220000983 |
The Medical Clinics Of Georgia, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 W.college Street, Bowdon, GA 30108 Phone: 770-258-1002 Fax: 770-258-1003 | |
West Carroll Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1125 E Highway 166, Bowdon, GA 30108 Phone: 770-258-5424 Fax: 770-838-8980 |