Glenn Paul Hittel, MD | |
150 Gentilly Blvd, Cartersville, GA 30120-8522 | |
(770) 382-2580 | |
(770) 386-7910 |
Full Name | Glenn Paul Hittel |
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Gender | Male |
Speciality | Family Medicine |
Location | 150 Gentilly Blvd, Cartersville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215098090 | NPI | - | NPPES |
000457564B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | 034159 (Georgia) | Secondary |
207Q00000X | Family Medicine | 034159 (Georgia) | Primary |
Entity Name | Harbin Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679599088 PECOS PAC ID: 0446154231 Enrollment ID: O20031124000117 |
Mailing Address | Practice Location Address |
---|---|
Glenn Paul Hittel, MD 221 Technology Pkwy Nw, Rome, GA 30165-1369 Ph: (762) 235-1000 | Glenn Paul Hittel, MD 150 Gentilly Blvd, Cartersville, GA 30120-8522 Ph: (770) 382-2580 |
Dr. Nandakishore Polkampalli, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 606-573-4520 | |
Donna Watters Gregory, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7470 Fax: 770-386-7910 | |
Robert F. Parham, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 218 Stonewall St, Cartersville, GA 30120 Phone: 770-386-1907 Fax: 770-607-0883 | |
Dr. Richard H Britton Ii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Fox Chase, Cartersville, GA 30120 Phone: 770-382-0185 Fax: 770-382-0247 | |
Kate Reker Raymond, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 770-382-2580 Fax: 770-386-7910 | |
Kellie Bevans, APRN, MSN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Henderson Dr Ste 504, Cartersville, GA 30120 Phone: 770-607-9032 | |
Christopher Eric Sward, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 770-382-2580 Fax: 770-386-7910 |