| Palmetto Health Council, Inc. | |
|
507 Park St Palmetto GA 30268-1007 | |
| (404) 929-8824 | |
| (404) 929-9769 |
| Full Name | Palmetto Health Council, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 507 Park St, Palmetto, Georgia |
| Authorized Official Name and Position | Jon W Wollenzien (CEO) |
| Authorized Official Contact | 4049298824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Health Council, Inc. 643 Main St Palmetto GA 30268-1138 Ph: (404) 929-8824 | Palmetto Health Council, Inc. 507 Park St Palmetto GA 30268-1007 Ph: (404) 929-8824 |
| NPI Number | 1952967234 |
|---|---|
| Provider Enumeration Date | 05/13/2019 |
| Last Update Date | 05/13/2019 |
| Medicare PECOS PAC ID | 3476586629 |
|---|---|
| Medicare Enrollment ID | O20190712000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952967234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Yourtown Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 643 Main St, Palmetto, GA 30268 Phone: 770-463-4644 Fax: 770-463-9885 | |
The Real Therapists Of Atlanta, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 626 Main St, Palmetto, GA 30268 Phone: 678-898-4941 Fax: 678-818-4619 | |
Yourtown Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 643 Main St, Palmetto, GA 30268 Phone: 404-929-8824 Fax: 404-929-9769 |