Jerome D. Homish in Lithonia - Addiction Medicine

Jerome D. Homish - NPI 1316991870

Jerome D. Homish is a Addiction Medicine in Lithonia, Georgia. Jerome D. Homish practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Jerome D. Homish is 1316991870. The last update date is 2022-05-10.

Jerome D. Homish's current location address is 7231 Rockbridge Rd, Lithonia, Georgia. You can contact this provider via phone number 6787109270 and fax number 4783652880. The mailing address for Jerome D. Homish is 7231 Rockbridge Rd, Lithonia, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerome D. Homish
Address 7231 Rockbridge Rd, Lithonia, Georgia
Phone Number 6787109270
Fax Number 4783652880
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1316991870
Provider Enumeration Date 2006-05-20
Last Updated Date 2022-05-10

Provider Mailing Address Detail

Address 7231 Rockbridge Rd
City Lithonia
State Georgia (GA)
Post Code 300585918
Phone Number 6787109270
Fax Number 4783652880

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 2084A0401X
Licence No 89940
Definition:
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1316991870 NPI
CE0006 RR MEDICARE
185128 OH UNISON MEDICAID
1714142 MOUNTAIN STATE BC/BS
834271 OH MOLINA MEDICAID
251326 ANTHEM BC/BS
2003178000 WV --

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FAQs about Jerome D. Homish

What is the unique identification code assigned to Jerome D. Homish by the Centers for Medicare & Medicaid Services?

The Jerome D. Homish has been issued the NPI (National Provider Identifier) 1316991870. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jerome D. Homish's facilities are geographically located?

The facilities of Jerome D. Homish are physically situated at the following location: 7231 Rockbridge Rd, Lithonia, GA, 300585918.

What is Jerome D. Homish's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jerome D. Homish's area of specialization is Addiction Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2084A0401X.

On what date did the Centers for Medicare & Medicaid Services issue the 1316991870 to Jerome D. Homish?

The Jerome D. Homish received its 1316991870 assignment from the Centers for Medicare & Medicaid Services on 2006-05-20.

When was the information pertaining to Jerome D. Homish most recently updated or revised?

The details related to Jerome D. Homish, including its address, specialty, and other relevant information, were last updated or revised on 2022-05-10.

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