| Jennings Medical Group Llc | |
|
65 Highlander Trl Sw Rome GA 30165-3683 | |
| (870) 949-6697 | |
| Not Available |
| Full Name | Jennings Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 65 Highlander Trl Sw, Rome, Georgia |
| Authorized Official Name and Position | Sasha Fanchon Jennings (PHYSICIAN) |
| Authorized Official Contact | 8709496697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennings Medical Group Llc 65 Highlander Trl Sw Rome GA 30165-3683 Ph: () - | Jennings Medical Group Llc 65 Highlander Trl Sw Rome GA 30165-3683 Ph: (870) 949-6697 |
| NPI Number | 1497442123 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 04/21/2023 |
| Medicare PECOS PAC ID | 8527423177 |
|---|---|
| Medicare Enrollment ID | O20230503002497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497442123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sasha Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376036558 PECOS PAC ID: 3274938204 Enrollment ID: I20220912001380 |
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