| Encompass Healthcare, Pc | |
|
3006 Dogwood Dr East Point GA 30344-3906 | |
| (404) 784-0607 | |
| Not Available |
| Full Name | Encompass Healthcare, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3006 Dogwood Dr, East Point, Georgia |
| Authorized Official Name and Position | Reginald Roberts Jackson (PRESIDENT) |
| Authorized Official Contact | 4047840607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Encompass Healthcare, Pc 3006 Dogwood Dr East Point GA 30344-3906 Ph: (404) 784-0607 | Encompass Healthcare, Pc 3006 Dogwood Dr East Point GA 30344-3906 Ph: (404) 784-0607 |
| NPI Number | 1881905594 |
|---|---|
| Provider Enumeration Date | 06/28/2010 |
| Last Update Date | 06/28/2010 |
| Medicare PECOS PAC ID | 2062608250 |
|---|---|
| Medicare Enrollment ID | O20101130001066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881905594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 051007 (Georgia) | Primary |
| Provider Name | Reginald Roberts Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154427615 PECOS PAC ID: 7416932645 Enrollment ID: I20040623000137 |
| Provider Name | Twanna S Woodson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649366048 PECOS PAC ID: 8921039892 Enrollment ID: I20050830000983 |
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