| Reese Family Healthcare, Llc | |
|
100 Tremon St Gordon GA 31031-5013 | |
| (478) 628-1515 | |
| Not Available |
| Full Name | Reese Family Healthcare, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Tremon St, Gordon, Georgia |
| Authorized Official Name and Position | Morris E Reese (OWNER) |
| Authorized Official Contact | 4786281515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reese Family Healthcare, Llc 3025 Breckinridge Blvd Suite 120 Duluth GA 30096-7611 Ph: (678) 226-0082 | Reese Family Healthcare, Llc 100 Tremon St Gordon GA 31031-5013 Ph: (478) 628-1515 |
| NPI Number | 1033250857 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 12/05/2007 |
| Medicare PECOS PAC ID | 2163486234 |
|---|---|
| Medicare Enrollment ID | O20041118000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033250857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 040769 (Georgia) | Primary |
| Provider Name | Brian O Reese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629088521 PECOS PAC ID: 6103875562 Enrollment ID: I20050113000039 |
Community Health Care Systems, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 218 Milledgeville Hwy, Gordon, GA 31031 Phone: 478-864-3448 Fax: 478-864-1288 |