Journeycare Family Medicine, Llc | |
4550 Jonesboro Rd Ste A2-314 Union City GA 30291-2050 | |
(470) 316-8028 | |
Not Available |
Full Name | Journeycare Family Medicine, Llc |
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Speciality | Nurse Practitioner |
Location | 4550 Jonesboro Rd Ste A2-314, Union City, Georgia |
Authorized Official Name and Position | Shantrice Bernice Nichols-bates (OWNER, MEDICAL DIRECTOR) |
Authorized Official Contact | 6013768019 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Journeycare Family Medicine, Llc 4550 Jonesboro Rd Ste A2-314 Union City GA 30291-2050 Ph: (601) 376-8019 | Journeycare Family Medicine, Llc 4550 Jonesboro Rd Ste A2-314 Union City GA 30291-2050 Ph: (470) 316-8028 |
NPI Number | 1932808094 |
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Provider Enumeration Date | 02/27/2023 |
Last Update Date | 04/26/2023 |
Medicare PECOS PAC ID | 6002273760 |
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Medicare Enrollment ID | O20230612001460 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932808094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Provider Name | Shantrice Bernice Nichols-bates |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245603844 PECOS PAC ID: 9335449933 Enrollment ID: I20210407000365 |
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