| Dr Joseph Fowlkes, MD | |
|
2978 Highway 36 W, Jackson, GA 30233 | |
| (770) 504-2144 | |
| Not Available |
| Full Name | Dr Joseph Fowlkes |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2978 Highway 36 W, Jackson, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568661320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 39795 (Georgia) | Primary |
| Entity Name | Centerwell Senior Primary Care Ga Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801463468 PECOS PAC ID: 3274939061 Enrollment ID: O20210901004313 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph Fowlkes, MD 1035 Rosewood Dr Ne, Atlanta, GA 30306-3552 Ph: (404) 872-9178 | Dr Joseph Fowlkes, MD 2978 Highway 36 W, Jackson, GA 30233 Ph: (770) 504-2144 |
Anthony Loren Miranda, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 239 Stony Brook Cir, Jackson, GA 30233 Phone: 209-306-4796 Fax: 478-247-8448 | |
Craig O'neil Campbell, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 3rd St, Jackson, GA 30233 Phone: 404-974-9740 Fax: 404-974-9740 | |
Dr. Shashi Madan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 135 N Oak St, Jackson, GA 30233 Phone: 770-775-7675 Fax: 770-775-7817 |