| General Medicine, Inc | |
|
230 East Ave Cedartown GA 30125-3002 | |
| (770) 749-0420 | |
| (770) 748-0508 |
| Full Name | General Medicine, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 230 East Ave, Cedartown, Georgia |
| Authorized Official Name and Position | Marc O Wall (OWNER) |
| Authorized Official Contact | 7707490420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| General Medicine, Inc 230 East Ave Cedartown GA 30125-3002 Ph: (770) 749-0420 | General Medicine, Inc 230 East Ave Cedartown GA 30125-3002 Ph: (770) 749-0420 |
| NPI Number | 1255605416 |
|---|---|
| Provider Enumeration Date | 03/05/2012 |
| Last Update Date | 03/05/2012 |
| Medicare PECOS PAC ID | 0042471146 |
|---|---|
| Medicare Enrollment ID | O20120417000679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255605416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John D Engel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922065648 PECOS PAC ID: 7719936244 Enrollment ID: I20050121000380 |
| Provider Name | William C Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811323249 PECOS PAC ID: 8527294743 Enrollment ID: I20131122001213 |
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