| Your Personal Physician | |
|
701 E 2nd Ave Sw Suite C Rome GA 30161-6148 | |
| (706) 266-9090 | |
| (706) 204-8797 |
| Full Name | Your Personal Physician |
|---|---|
| Speciality | Family Medicine |
| Location | 701 E 2nd Ave Sw, Rome, Georgia |
| Authorized Official Name and Position | Michael S Jackson (PRESIDENT) |
| Authorized Official Contact | 7062669090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Personal Physician Po Box 40 Silver Creek GA 30173-0040 Ph: (706) 266-9090 | Your Personal Physician 701 E 2nd Ave Sw Suite C Rome GA 30161-6148 Ph: (706) 266-9090 |
| NPI Number | 1164745782 |
|---|---|
| Provider Enumeration Date | 03/10/2010 |
| Last Update Date | 01/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164745782 | NPI | - | NPPES |
| 08BBRKT | Other | GA | MEDICARE PTAN |
| 1306830062 | Other | MEDICARE INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 055376 (Georgia) | Primary |
Redmond Family Care Center At East Rome Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 E 2nd Ave Sw, Rome, GA 30161 Phone: 706-235-1102 Fax: 706-235-7188 | |
Floyd County Regional Dental Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 E 12th St Sw, Rome, GA 30161 Phone: 706-802-5343 Fax: 706-802-5681 | |
Primary Health Care Center Of Dade, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 Crane St Sw, Rome, GA 30161 Phone: 706-756-6133 Fax: 706-657-2958 | |
Northwest Georgia Medical Clinic 2llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 N 5th Ave Ne, Rome, GA 30165 Phone: 404-943-0205 | |
New Horizons Treatment Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 36 Chateau Ct Se, Rome, GA 30161 Phone: 706-233-9603 Fax: 706-233-9526 | |
Wilson's Wellness Clinical Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14b Professional Ct Sw, Rome, GA 30165 Phone: 404-981-3936 Fax: 404-393-4038 | |
Floyd Healthcare Management Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Turner Mccall Blvd Sw Ste 101, Rome, GA 30165 Phone: 706-509-5740 Fax: 706-509-5741 |