| Thomas D Fausett Jr Md Pc | |
|
707 N Parrish Ave Adel GA 31620-1521 | |
| (229) 896-7007 | |
| (229) 896-7627 |
| Full Name | Thomas D Fausett Jr Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 707 N Parrish Ave, Adel, Georgia |
| Authorized Official Name and Position | Thomas D Fausett (PRESIDENT) |
| Authorized Official Contact | 2298967007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas D Fausett Jr Md Pc 707 N Parrish Ave Adel GA 31620-1521 Ph: (229) 896-7007 | Thomas D Fausett Jr Md Pc 707 N Parrish Ave Adel GA 31620-1521 Ph: (229) 896-7007 |
| NPI Number | 1720365018 |
|---|---|
| Provider Enumeration Date | 11/15/2011 |
| Last Update Date | 11/15/2011 |
| Medicare PECOS PAC ID | 8224202601 |
|---|---|
| Medicare Enrollment ID | O20111121000764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720365018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 046090 (Georgia) | Primary |
| Provider Name | Thomas D Fausett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366513210 PECOS PAC ID: 6507886421 Enrollment ID: I20051206000824 |
| Provider Name | James R. Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396215703 PECOS PAC ID: 7517208614 Enrollment ID: I20190417001385 |
Rodney D. Tyson Md,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 James St, Adel, GA 31620 Phone: 229-896-3424 Fax: 229-896-3838 | |
Tia S Sanderlin Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 N Parrish Ave, Adel, GA 31620 Phone: 229-896-7007 Fax: 229-896-7627 | |
Child And Family Enrichment Agency Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 N Hutchinson Ave, Adel, GA 31620 Phone: 229-223-3426 |