Unknown Individual – Family Medicine Physician, NPI 1215927942
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1502, West 3rd Street, Jackson, Butts County, Georgia, 30233, United States
JACKSON, GA 302331979
Phone: (678) 774-0430
Fax: (770) 775-3410
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30233)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Family Practice | LA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| - | GA | |
| Internal Medicine | GA | |
| Family Practice | GA | |
| - | GA | |
| Nurse Practitioner | GA |
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