| Prime Care & Pathology Inc | |
|
1050 Green St Se Conyers GA 30012-5406 | |
| (770) 648-7226 | |
| (770) 648-7211 |
| Full Name | Prime Care & Pathology Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1050 Green St Se, Conyers, Georgia |
| Authorized Official Name and Position | Jackson L Gates (OWNER) |
| Authorized Official Contact | 6785916509 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care & Pathology Inc 1050 Green St Se Conyers GA 30012-5406 Ph: (770) 648-7226 | Prime Care & Pathology Inc 1050 Green St Se Conyers GA 30012-5406 Ph: (770) 648-7226 |
| NPI Number | 1144977802 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 03/03/2022 |
| Medicare PECOS PAC ID | 4688061294 |
|---|---|
| Medicare Enrollment ID | O20220429001112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144977802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jackson Gates |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962418400 PECOS PAC ID: 2163618554 Enrollment ID: I20101124000670 |
Internal Medicine Associates Of Rockdale Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Wellbrook Circle, Conyers, GA 30012 Phone: 770-922-3023 Fax: 770-929-1016 | |
Family & Occupational Medicine Of Conyers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1907 Crescent Moon Dr Ne, Conyers, GA 30012 Phone: 404-358-3427 | |
Alpha Health And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2274 Salem Rd Se # 106-1232, Conyers, GA 30013 Phone: 770-648-5333 | |
Conyers Internal Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1380 Milstead Ave Ne, Ste C, Conyers, GA 30012 Phone: 770-922-7000 | |
Kimble Care Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3340 Oak Dr Se, Conyers, GA 30013 Phone: 770-881-7100 | |
Aylo Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Nortec Dr Se, Conyers, GA 30013 Phone: 678-374-7514 Fax: 678-374-7517 | |
Georgeia Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1275 Parker Rd Se, Conyers, GA 30094 Phone: 770-929-8100 Fax: 770-929-3485 |