Peter James Tully (NPI# 1770659161, PAC ID# 7810086543) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1770659161 |
PAC ID by PECOS | 7810086543 |
Professional Enrollment ID | I20120409000139 |
Full Name | Peter James Tully |
Organization Legal Name | LOCUST GROVE CLINIC, P.C. |
Address |
835 Jackson St Locust Grove GA 30248-4137 |
Phone Number | 7708980028 |
Gender | M |
Medical School | LIFE CHIROPRACTIC COLLEGE |
Graduation Year | 1998 |
Primary Specialty | CHIROPRACTIC |
Group Practice PAC ID | 5395733539 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
835 Jackson St, Locust Grove, GA 30248-4137 | 7708980028 | LOCUST GROVE CLINIC, P.C. |
Organization Legal Name | LOCUST GROVE CLINIC, P.C. |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elizabeth Catherine Tully | Chiropractic | Locust Grove Clinic, P.C. | 835 Jackson St, Locust Grove, GA 30248-4137 |
Street Address |
835 JACKSON ST |
City | LOCUST GROVE |
State | GA |
Zip | 30248-4137 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elizabeth Catherine Tully | Chiropractic | Locust Grove Clinic, P.C. | 835 Jackson St, Locust Grove, GA 30248-4137 |
Name | Specialty | Organization | Address |
---|---|---|---|
Althea Dimaculangan | Nurse Practitioner | Locust Grove Family Medicine | 3778 Hwy 42, Locust Grove, GA 30248 |
Lorie N Johnson | Obstetrics/gynecology | 3976 Hwy 42 S, Locust Grove, GA 30248 | |
Nimisha Trivedi | Family Medicine | Locust Grove Family Medicine | 3778 Hwy 42, Locust Grove, GA 30248 |
Remonne Joseph | Nurse Practitioner | Locust Grove Family Medicine | 3778 Hwy 42, Locust Grove, GA 30248 |
Laura M Trice | Nurse Practitioner | Health Services of Central Georgia | 4600 Bill Gardner Pkwy, Suite 200, Locust Grove, GA 30248-2427 |
Cody James Hartley | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 4959 Bill Gardner Pkwy, Suite 109, Locust Grove, GA 30248-2915 |
Jameson A Estes | Family Medicine | Venture Medical Associates LLC | 3334 Hwy 155 A, Locust Grove, GA 30248-3513 |
Janella L Thomas Burse | Obstetrics/gynecology | Better Health Greater Life LLC | 3334 Hwy 155, Suite B, Locust Grove, GA 30248-3513 |
Jean R Ferdinand | Family Medicine | Venture Medical Associates LLC | 3334 Hwy 155 A, Locust Grove, GA 30248-3513 |
Alecia R Lovelady | Obstetrics/gynecology | Better Health Greater Life LLC | 3334 Hwy 155, Suite B, Locust Grove, GA 30248-3513 |
Find all physicians in zip 30248 |
City | LOCUST GROVE |
Zip Code | 30248 |
Specialty | CHIROPRACTIC |
City + Specialty | LOCUST GROVE + CHIROPRACTIC |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.