Unknown Individual – Geriatric Medicine (Family Medicine) Physician, NPI 1225019565
Geriatric Medicine (Family Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Cartersville Post Office, Liberty Drive, Cartersville, Bartow County, Georgia, 30129, United States
572 W. MAIN ST.
CARTERSVILLE, GA 301201691
Phone: (770) 386-4161
Fax: (771) 386-9364
Type: Mailing
572, West Main Street, Atco, Cartersville, Bartow County, Georgia, 30120, United States
CARTERSVILLE, GA 301203469
Phone: (770) 386-4161
Fax: (771) 386-9364
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30120)
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