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Jerome D. Homish, DO
Family Medicine Physician in Lithonia, Georgia
NPI 1316991870

Jerome D. Homish is a Family Medicine Physician based in Lithonia, GA. Jerome D. Homish practices in Lithonia, GA and has the professional credentials of DO. The NPI Number for Jerome D. Homish is 1316991870 and holds a License No. 34-005148 (Georgia).

The current practice location address for Jerome D. Homish is 7231 Rockbridge Rd, Lithonia, GA and can be reached out via phone at 678-710-9270 and via fax at 470-365-2880.

Location: 7231 Rockbridge Rd, Lithonia, GA, 30058-5918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316991870
Provider Name
Jerome D. Homish
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
7231 Rockbridge Rd, Lithonia, GA, 30058-5918
Phone Number
678-710-9270
Fax Number
470-365-2880
Provider Enumeration Date
05/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1316991870 01 NPI
CE0006 01 RR MEDICARE
000000185128 01 OH UNISON MEDICAID
001714142 01 MOUNTAIN STATE BC/BS
0834271 01 OH MOLINA MEDICAID
000000251326 01 ANTHEM BC/BS
2003178000 05 WV
institution
Provider Business Practice Location Address Details
Address
7231 Rockbridge Rd
City
Lithonia
State
Georgia
Zip
30058-5918
Phone Number
678-710-9270
Fax Number
470-365-2880
person
Provider Business Mailing Address Details
Address
7231 Rockbridge Rd
City
Lithonia
State
Georgia
Zip
30058-5918
Phone Number
678-710-9270
Fax Number
470-365-2880
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
89940 (Georgia)
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 is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
34-005148 (Ohio)
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
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