Dr Charles David Lutin, MD | |
597 S Enota Dr Ne, Gainesville, GA 30501-2545 | |
(770) 219-8206 | |
(770) 219-7778 |
Full Name | Dr Charles David Lutin |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 597 S Enota Dr Ne, Gainesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881640266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 067061 (Georgia) | Primary |
Entity Name | Acsh Primary Care Of Georgia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598185548 PECOS PAC ID: 3577886183 Enrollment ID: O20150106000507 |
Entity Name | Afc Physicians Of Georgia Primary Care, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780062380 PECOS PAC ID: 3072818095 Enrollment ID: O20160229001243 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles David Lutin, MD 601 S Enota Dr Ne, Suite Q, Gainesville, GA 30501-2400 Ph: (770) 219-8206 | Dr Charles David Lutin, MD 597 S Enota Dr Ne, Gainesville, GA 30501-2545 Ph: (770) 219-8206 |
Dr. Keith Edwin Leap Ii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 786-357-9327 | |
Dr. Philippe Gadegbeku, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 Fax: 770-536-7895 | |
Dr. George Houlditch, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 | |
Heather Holstein, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Jason Sanghwa Oh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
William E Davis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 Fax: 770-536-7895 | |
Dr. Gary Kempler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 Fax: 770-536-7895 |