Family Total Healthcare Llc is a
Nurse Practitioner based in Vidalia, Georgia. Family Total Healthcare Llc is licensed to practice in Georgia (license number 122840) and their current practice location is
509 Jackson St, Vidalia, Georgia. It can be reached at their office (for appointments etc.) via phone at
(912) 537-2564.
NPI number for Family Total Healthcare Llc is 1457646770 and their current mailing address is Po Box 627, Vidalia, Georgia. Family Total Healthcare Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1457646770.
Healthcare Provider's Profile
Full Name | Family Total Healthcare Llc |
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Type | Facility |
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Speciality | Nurse Practitioner |
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Location | 509 Jackson St, Vidalia, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457646770
- Provider Enumeration Date: 06/15/2011
- Last Update Date: 06/15/2011
Medical Identifiers
Medical identifiers for Family Total Healthcare Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457646770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | CHIR001572 (Georgia) | Secondary |
207R00000X | Internal Medicine | 47233 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | 122840 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Family Total Healthcare Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Family Total Healthcare Llc Po Box 627, Vidalia, GA 30475-0627 Ph: (912) 537-2564 | Family Total Healthcare Llc 509 Jackson St, Vidalia, GA 30474-4720 Ph: (912) 537-2564 |
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