| Cartersville Family Medicine | |
|
17 Collins Dr Cartersville GA 30120-2487 | |
| (770) 386-9390 | |
| Not Available |
| Full Name | Cartersville Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 17 Collins Dr, Cartersville, Georgia |
| Authorized Official Name and Position | Benjamin R Smith (PRESIDENT) |
| Authorized Official Contact | 7703969390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cartersville Family Medicine 17 Collins Dr Cartersville GA 30120-2487 Ph: (770) 386-9390 | Cartersville Family Medicine 17 Collins Dr Cartersville GA 30120-2487 Ph: (770) 386-9390 |
| NPI Number | 1245402940 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 08/20/2008 |
| Medicare PECOS PAC ID | 3870664923 |
|---|---|
| Medicare Enrollment ID | O20080617000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245402940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Benjamin R Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922156462 PECOS PAC ID: 2466523535 Enrollment ID: I20080617000446 |
| Provider Name | Lorna Kay Whaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194105767 PECOS PAC ID: 2567751183 Enrollment ID: I20160519002552 |
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