Joseph Jellicorse in Carrollton - Family Medicine
Joseph Jellicorse - NPI 1932190535
Joseph Jellicorse is a Family Medicine in Carrollton, Georgia. Joseph Jellicorse practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Joseph Jellicorse is 1932190535. The last update date is 2012-09-19.
Joseph Jellicorse's current location address is 100 Professional Park, Carrollton, Georgia. You can contact this provider via phone number 7708343351. The mailing address for Joseph Jellicorse is 100 Professional Park, Carrollton, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Joseph Jellicorse |
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Address | 100 Professional Park, Carrollton, Georgia |
Phone Number | 7708343351 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1932190535 |
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Provider Enumeration Date | 2005-11-02 |
Last Updated Date | 2012-09-19 |
Provider Mailing Address Detail
Address | 100 Professional Park |
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City | Carrollton |
State | Georgia (GA) |
Post Code | 301173874 |
Phone Number | 7708343351 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 46974 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00823028A | GA | -- | |
80157122 | GA | RAIL ROAD MEDICARE | |
728652 | GA | BLUE CROSS |
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What is the unique 10-digit identifier code issued to Joseph Jellicorse by the Centers for Medicare & Medicaid Services?
The Joseph Jellicorse has been assigned the NPI (National Provider Identifier) 1932190535 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Joseph Jellicorse located?
The Joseph Jellicorse is located at 100 Professional Park, Carrollton, GA 301173874.
What is Joseph Jellicorse's area of expertise and its corresponding taxonomy classification?
The Joseph Jellicorse's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Joseph Jellicorse receive its 1932190535 assignment from the Centers for Medicare & Medicaid Services?
The Joseph Jellicorse was assigned its 1932190535 by the Centers for Medicare & Medicaid Services on 2005-11-02.
When was the information regarding Joseph Jellicorse, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Joseph Jellicorse, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-09-19.
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