| Clocktower Medical Group, LLC | |
|
306 E 6th Ave Rome GA 30161-6008 | |
| (706) 262-7850 | |
| Not Available |
| Full Name | Clocktower Medical Group, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 306 E 6th Ave, Rome, Georgia |
| Authorized Official Name and Position | Brian Douglas Mcniece (PRESIDENT) |
| Authorized Official Contact | 7062627850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clocktower Medical Group, LLC 306 E 6th Ave Rome GA 30161-6008 Ph: (706) 262-7850 | Clocktower Medical Group, LLC 306 E 6th Ave Rome GA 30161-6008 Ph: (706) 262-7850 |
| NPI Number | 1427895200 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 4082152772 |
|---|---|
| Medicare Enrollment ID | O20240813001298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427895200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Mary K Harbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083874119 PECOS PAC ID: 5890831374 Enrollment ID: I20091014000445 |
| Provider Name | Brian D Mcniece |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255626024 PECOS PAC ID: 5496976029 Enrollment ID: I20141024001156 |
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