Dr Charles Dudleigh Hackett, PHD is a
Marriage & Family Therapist based in Big Canoe, Georgia. Dr Charles Dudleigh Hackett is licensed to practice in Georgia (license number MFT000579) and his current practice location is
316 Tea Berry Ln., Big Canoe, Georgia. He can be reached at his office (for appointments etc.) via phone at
(404) 375-0914.
NPI number for Dr Charles Dudleigh Hackett is 1194211631 and his current mailing address is 10298 Big Canoe, Big Canoe, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194211631.
Healthcare Provider's Profile
Full Name | Dr Charles Dudleigh Hackett |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 316 Tea Berry Ln., Big Canoe, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194211631
- Provider Enumeration Date: 07/09/2018
- Last Update Date: 07/09/2018
Medical Identifiers
Medical identifiers for Dr Charles Dudleigh Hackett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194211631 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFT000579 (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. Dr Charles Dudleigh Hackett 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 |
Dr Charles Dudleigh Hackett, PHD 10298 Big Canoe, Big Canoe, GA 30143-5121 Ph: (404) 731-2578 | Dr Charles Dudleigh Hackett, PHD 316 Tea Berry Ln., Big Canoe, GA 30143-3014 Ph: (404) 375-0914 |
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