| Dartmouth Medical, LLC | |
|
2959 Sharpsburg Mccullum Rd # 103 Newnan GA 30265-2297 | |
| (617) 610-9339 | |
| Not Available |
| Full Name | Dartmouth Medical, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2959 Sharpsburg Mccullum Rd # 103, Newnan, Georgia |
| Authorized Official Name and Position | Jian Liang Pang (CEO) |
| Authorized Official Contact | 6176109339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dartmouth Medical, LLC 2959 Sharpsburg Mccullum Rd # 103 Newnan GA 30265-2297 Ph: (770) 202-1642 | Dartmouth Medical, LLC 2959 Sharpsburg Mccullum Rd # 103 Newnan GA 30265-2297 Ph: (617) 610-9339 |
| NPI Number | 1679347033 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Medicare PECOS PAC ID | 7214387984 |
|---|---|
| Medicare Enrollment ID | O20231220003219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679347033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | () | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | () | Primary |
| Provider Name | Jian Liang Pang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558637058 PECOS PAC ID: 8921306325 Enrollment ID: I20180111000776 |
Xpress Care Clinic of Georgia, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 963 Bullsboro Dr, Suite 4d, Newnan, GA 30265 Phone: 770-252-6500 |
Piedmont Medical Care Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Highway 34 E, Bldg 300, Newnan, GA 30265 Phone: 770-304-0987 Fax: 770-304-0534 |
Express Medical, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 Lower Fayetteville Rd, Suite J, Newnan, GA 30263 Phone: 770-715-9391 |
Transitional Care Clinic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2084 Newnan Crossing Blvd E Ste 300, Newnan, GA 30265 Phone: 000-000-0000 |
Family Physicians at Summer Grove Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Market Sq, Suite 100, Newnan, GA 30265 Phone: 770-252-3783 Fax: 770-252-4918 |
Spectrum Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39b Oak Hill Ct, Newnan, GA 30265 Phone: 678-464-3078 |