| Floyd County Boh- Mobile Dental Van | |
|
1309 Redmond Rd Nw Rome GA 30165-1307 | |
| (706) 802-5343 | |
| (706) 802-5681 |
| Full Name | Floyd County Boh- Mobile Dental Van |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 1309 Redmond Rd Nw, Rome, Georgia |
| Authorized Official Name and Position | Christopher Wade Sellers (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7062956704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Floyd County Boh- Mobile Dental Van 1309 Redmond Rd Nw Rome GA 30165-1307 Ph: (706) 802-5343 | Floyd County Boh- Mobile Dental Van 1309 Redmond Rd Nw Rome GA 30165-1307 Ph: (706) 802-5343 |
| NPI Number | 1679614515 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679614515 | NPI | - | NPPES |
| 000926879G | Medicaid | GA | |
| 000926879A | Medicaid | GA | |
| 000926879F | Medicaid | GA | |
| 0009288679B | Medicaid | GA | |
| 000926879D | Medicaid | GA | |
| 000926879E | Medicaid | GA | |
| 000926879I | Medicaid | GA | |
| 000926879 | Medicaid | GA | |
| 000926879B | Medicaid | GA | |
| 000926879H | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | 025271 (Georgia) | Primary |
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Redmond Family Care Center At East Rome Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 E 2nd Ave Sw, Rome, GA 30161 Phone: 706-235-1102 Fax: 706-235-7188 | |
Floyd County Regional Dental Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 E 12th St Sw, Rome, GA 30161 Phone: 706-802-5343 Fax: 706-802-5681 | |
Primary Health Care Center Of Dade, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Crane St Sw, Rome, GA 30161 Phone: 706-756-6133 Fax: 706-657-2958 | |
Northwest Georgia Medical Clinic 2llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 N 5th Ave Ne, Rome, GA 30165 Phone: 404-943-0205 | |
Wilson's Wellness Clinical Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14b Professional Ct Sw, Rome, GA 30165 Phone: 404-981-3936 Fax: 404-393-4038 | |
Floyd Healthcare Management Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Turner Mccall Blvd Sw Ste 101, Rome, GA 30165 Phone: 706-509-5740 Fax: 706-509-5741 |