| Professional Park Medical Services, P.c. | |
|
Suite 202 100 Professional Park Carrollton GA 30117 | |
| (770) 832-6861 | |
| (770) 832-9432 |
| Full Name | Professional Park Medical Services, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | Suite 202, Carrollton, Georgia |
| Authorized Official Name and Position | Jefferson Taylor Gordon (FAMILY PRACTICE MD) |
| Authorized Official Contact | 7708326861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Park Medical Services, P.c. Suite 202 100 Professional Park Carrollton GA 30117 Ph: (770) 832-6861 | Professional Park Medical Services, P.c. Suite 202 100 Professional Park Carrollton GA 30117 Ph: (770) 832-6861 |
| NPI Number | 1386662849 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 03/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386662849 | NPI | - | NPPES |
| CJ2154 | Other | GA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Hga Villa Rica, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 Bankhead Hwy, Carrollton, GA 30117 Phone: 770-838-8440 | |
Post Acute Care Leaders Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 156 Pine Knoll Dr, Carrollton, GA 30117 Phone: 678-593-3332 Fax: 678-868-1584 | |
The Rouse Foundation, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 158 Newnan Road, Carrollton, GA 30117 Phone: 770-328-5458 | |
Joseph S. Palin, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 E Ward St, Carrollton, GA 30117 Phone: 770-836-1011 Fax: 770-836-1049 | |
Drs Gentry Wellborn & Mcghee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 Dixie Street, Carrollton, GA 30117 Phone: 770-832-9593 Fax: 770-832-0440 | |
West Georgia Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 300, Carrollton, GA 30117 Phone: 770-834-6208 Fax: 770-830-7620 | |
Carrollton Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 Dixie St, Carrollton, GA 30117 Phone: 770-832-9593 Fax: 770-832-0440 |