| Sewell Family Medicine And Urgent Care, P.c. | |
|
408 Maple St Carrollton GA 30117-3237 | |
| (678) 796-0804 | |
| (678) 796-0805 |
| Full Name | Sewell Family Medicine And Urgent Care, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 408 Maple St, Carrollton, Georgia |
| Authorized Official Name and Position | Jeffery Kele Sewell (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6787960804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sewell Family Medicine And Urgent Care, P.c. 408 Maple St Carrollton GA 30117-3237 Ph: (678) 796-0804 | Sewell Family Medicine And Urgent Care, P.c. 408 Maple St Carrollton GA 30117-3237 Ph: (678) 796-0804 |
| NPI Number | 1841761533 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 01/22/2024 |
| Medicare PECOS PAC ID | 9436494622 |
|---|---|
| Medicare Enrollment ID | O20181217000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841761533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffery Kele Sewell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598705071 PECOS PAC ID: 9234149063 Enrollment ID: I20060425000144 |
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