| Northcrest Family Medicine Llc | |
|
7768 Cumming Hwy Suite 300 Canton GA 30114-9314 | |
| (770) 720-2113 | |
| (770) 704-7365 |
| Full Name | Northcrest Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7768 Cumming Hwy, Canton, Georgia |
| Authorized Official Name and Position | John Richard Jackson (MD / OWNER) |
| Authorized Official Contact | 7706551408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northcrest Family Medicine Llc 7768 Cumming Hwy. Ste 300 Canton GA 30114 Ph: (770) 720-2113 | Northcrest Family Medicine Llc 7768 Cumming Hwy Suite 300 Canton GA 30114-9314 Ph: (770) 720-2113 |
| NPI Number | 1255465217 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 03/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255465217 | NPI | - | NPPES |
| 978224987A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 056102 (Georgia) | Primary |
Abundant Living Foundation, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1558 Marietta Hwy Ste 200, Canton, GA 30114 Phone: 914-275-1477 | |
Donna C. Haley, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 687 Marietta Hwy, Canton, GA 30114 Phone: 770-479-8040 Fax: 770-479-7871 | |
Georgia Highlands Medical Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Oakside Ln, Canton, GA 30114 Phone: 678-807-1050 Fax: 678-807-1055 | |
Medical Care Of Georgia, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Medical Ln, Canton, GA 30114 Phone: 770-345-2300 Fax: 770-345-2330 | |
Dima Healthcare, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7768 Cumming Hwy Ste 300, Canton, GA 30115 Phone: 707-111-1111 | |
Mini-med Clinic Of North Georgia, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5113 Holly Springs Parkway, Canton, GA 30115 Phone: 470-331-3544 |