| Family Health Center Of Adel | |
|
406 N Parrish Ave Adel GA 31620-2076 | |
| (229) 896-1672 | |
| (229) 896-1676 |
| Full Name | Family Health Center Of Adel |
|---|---|
| Speciality | Family Medicine |
| Location | 406 N Parrish Ave, Adel, Georgia |
| Authorized Official Name and Position | Jairaj Goberdhan (OWNER) |
| Authorized Official Contact | 2298961672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center Of Adel 406 N Parrish Ave Adel GA 31620-2076 Ph: (229) 896-1672 | Family Health Center Of Adel 406 N Parrish Ave Adel GA 31620-2076 Ph: (229) 896-1672 |
| NPI Number | 1124044292 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 01/13/2009 |
| Medicare PECOS PAC ID | 5395749055 |
|---|---|
| Medicare Enrollment ID | O20060912000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124044292 | NPI | - | NPPES |
| 934774 | Other | GA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jairaj Goberdhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194760744 PECOS PAC ID: 1759385412 Enrollment ID: I20060912000048 |
Rodney D. Tyson Md,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 James St, Adel, GA 31620 Phone: 229-896-3424 Fax: 229-896-3838 | |
Tia S Sanderlin Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 N Parrish Ave, Adel, GA 31620 Phone: 229-896-7007 Fax: 229-896-7627 | |
Thomas D Fausett Jr Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 707 N Parrish Ave, Adel, GA 31620 Phone: 229-896-7007 Fax: 229-896-7627 | |
Child And Family Enrichment Agency Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 N Hutchinson Ave, Adel, GA 31620 Phone: 229-223-3426 |