| Dima Care, Inc | |
|
415 Pottery Factory Dr Commerce GA 30529-6682 | |
| (706) 336-0074 | |
| (706) 336-0079 |
| Full Name | Dima Care, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 415 Pottery Factory Dr, Commerce, Georgia |
| Authorized Official Name and Position | Heather Lackey (PRACTICE MANAGER) |
| Authorized Official Contact | 7063360074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dima Care, Inc 415 Pottery Factory Dr Commerce GA 30529-6682 Ph: (706) 336-0074 | Dima Care, Inc 415 Pottery Factory Dr Commerce GA 30529-6682 Ph: (706) 336-0074 |
| NPI Number | 1699340612 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 05/21/2021 |
| Medicare PECOS PAC ID | 4385036011 |
|---|---|
| Medicare Enrollment ID | O20220110000594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699340612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Erin D London |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851359038 PECOS PAC ID: 7719079243 Enrollment ID: I20070913000295 |
| Provider Name | Rasheeda Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588950851 PECOS PAC ID: 7315115276 Enrollment ID: I20110719000852 |
| Provider Name | Sonya L Dicara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841586328 PECOS PAC ID: 8729257761 Enrollment ID: I20110809000694 |
| Provider Name | Joshua F Gastley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366776445 PECOS PAC ID: 1456499649 Enrollment ID: I20170203000387 |
| Provider Name | Melissa E Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871136770 PECOS PAC ID: 1557755600 Enrollment ID: I20220307000629 |
| Provider Name | Charlton D Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124607783 PECOS PAC ID: 2769825470 Enrollment ID: I20240209002073 |
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Paul M. Sergent M.d. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 Hospital Rd, Commerce, GA 30529 Phone: 706-335-2100 | |
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