Jdmf Llc | |
1550 Timberline Trce Snellville GA 30078-6618 | |
(402) 290-1838 | |
Not Available |
Full Name | Jdmf Llc |
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Speciality | Internal Medicine |
Location | 1550 Timberline Trce, Snellville, Georgia |
Authorized Official Name and Position | Janssen J Williams (OWNER) |
Authorized Official Contact | 4022901838 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jdmf Llc 1550 Timberline Trce Snellville GA 30078-6618 Ph: (402) 290-1838 | Jdmf Llc 1550 Timberline Trce Snellville GA 30078-6618 Ph: (402) 290-1838 |
NPI Number | 1427759802 |
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Provider Enumeration Date | 03/13/2023 |
Last Update Date | 03/13/2023 |
Medicare PECOS PAC ID | 7416312251 |
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Medicare Enrollment ID | O20230428002481 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427759802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Janssen Williams |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568548790 PECOS PAC ID: 9133279698 Enrollment ID: I20160408001038 |
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