| Gainesville Practice Management, Llc | |
|
250 Dawsonville Hwy Ste B Gainesville GA 30501-8571 | |
| (470) 252-5332 | |
| Not Available |
| Full Name | Gainesville Practice Management, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 250 Dawsonville Hwy Ste B, Gainesville, Georgia |
| Authorized Official Name and Position | Michael Duckett (OWNER) |
| Authorized Official Contact | 4044035689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gainesville Practice Management, Llc 250 Dawsonville Hwy Ste B Gainesville GA 30501-8571 Ph: (470) 252-5332 | Gainesville Practice Management, Llc 250 Dawsonville Hwy Ste B Gainesville GA 30501-8571 Ph: (470) 252-5332 |
| NPI Number | 1124753462 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Medicare PECOS PAC ID | 5597140780 |
|---|---|
| Medicare Enrollment ID | O20220926000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124753462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael J Duckett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205191962 PECOS PAC ID: 5496160038 Enrollment ID: I20210212001389 |
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