| Rock Health Inc | |
|
5385 Five Forks Trickum Rd Ste F Stone Mountain GA 30087-3018 | |
| (404) 822-4051 | |
| Not Available |
| Full Name | Rock Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5385 Five Forks Trickum Rd Ste F, Stone Mountain, Georgia |
| Authorized Official Name and Position | Kimberly R Fitzgerald (CEO/ NURSE PRACTITIONER) |
| Authorized Official Contact | 4048224051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rock Health Inc 382 Summer Glen Ct Stone Mountain GA 30087-5500 Ph: (404) 822-4051 | Rock Health Inc 5385 Five Forks Trickum Rd Ste F Stone Mountain GA 30087-3018 Ph: (404) 822-4051 |
| NPI Number | 1366082596 |
|---|---|
| Provider Enumeration Date | 01/15/2020 |
| Last Update Date | 01/15/2020 |
| Medicare PECOS PAC ID | 3870918626 |
|---|---|
| Medicare Enrollment ID | O20200811000242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366082596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kimberly R Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558765974 PECOS PAC ID: 8628397304 Enrollment ID: I20150430001082 |
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