| Rodney D. Tyson Md,pc | |
|
103 James St Adel GA 31620-1504 | |
| (229) 896-3424 | |
| (229) 896-3838 |
| Full Name | Rodney D. Tyson Md,pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 103 James St, Adel, Georgia |
| Authorized Official Name and Position | Rodney Donald Tyson (PRESIDENT) |
| Authorized Official Contact | 2298963424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodney D. Tyson Md,pc 103 James St Adel GA 31620-1504 Ph: (229) 896-3424 | Rodney D. Tyson Md,pc 103 James St Adel GA 31620-1504 Ph: (229) 896-3424 |
| NPI Number | 1245419183 |
|---|---|
| Provider Enumeration Date | 10/28/2007 |
| Last Update Date | 01/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245419183 | NPI | - | NPPES |
| 00703425A | Medicaid | GA | |
| 507222 | Other | GA | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 038994 (Georgia) | Primary |
Family Health Center Of Adel Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 406 N Parrish Ave, Adel, GA 31620 Phone: 229-896-1672 Fax: 229-896-1676 | |
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 |