| C. Thomas Bevill III MD, PC | |
|
12 Medical Dr Ne Cartersville GA 30121-8002 | |
| (770) 386-1000 | |
| (770) 386-9165 |
| Full Name | C. Thomas Bevill III MD, PC |
|---|---|
| Speciality | Family Medicine |
| Location | 12 Medical Dr Ne, Cartersville, Georgia |
| Authorized Official Name and Position | C. Thomas Bevill (OWNER) |
| Authorized Official Contact | 7703861000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Thomas Bevill III MD, PC Po Box 200185 Cartersville GA 30120-9027 Ph: (770) 386-1000 | C. Thomas Bevill III MD, PC 12 Medical Dr Ne Cartersville GA 30121-8002 Ph: (770) 386-1000 |
| NPI Number | 1518089820 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 01/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518089820 | NPI | - | NPPES |
| 511I080035 | Other | GA | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 028143 (Georgia) | Primary |
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