| Cherokee Family Medical Center, Inc | |
|
9766 Highway 92 Suite 200 Woodstock GA 30188 | |
| (770) 926-9846 | |
| (770) 693-9859 |
| Full Name | Cherokee Family Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9766 Highway 92, Woodstock, Georgia |
| Authorized Official Name and Position | Jackie L. Williamson (OWNER) |
| Authorized Official Contact | 7709269846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherokee Family Medical Center, Inc 9766 Highway 92 Suite 200 Woodstock GA 30188-6455 Ph: (770) 926-9846 | Cherokee Family Medical Center, Inc 9766 Highway 92 Suite 200 Woodstock GA 30188 Ph: (770) 926-9846 |
| NPI Number | 1497897631 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/01/2019 |
| Medicare PECOS PAC ID | 0345238093 |
|---|---|
| Medicare Enrollment ID | O20040503001098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497897631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jackie L Williamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477646016 PECOS PAC ID: 2163432501 Enrollment ID: I20110913000560 |
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