| Graceful Touch Healthcare Providers | |
|
35 Kristy Ln Summerville GA 30747-6786 | |
| (770) 547-1200 | |
| Not Available |
| Full Name | Graceful Touch Healthcare Providers |
|---|---|
| Speciality | Family Medicine |
| Location | 35 Kristy Ln, Summerville, Georgia |
| Authorized Official Name and Position | Marsha D Watson (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 7705471200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceful Touch Healthcare Providers 35 Kristy Ln Summerville GA 30747-6786 Ph: (770) 547-1200 | Graceful Touch Healthcare Providers 35 Kristy Ln Summerville GA 30747-6786 Ph: (770) 547-1200 |
| NPI Number | 1073292991 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Medicare PECOS PAC ID | 3375994742 |
|---|---|
| Medicare Enrollment ID | O20240110001638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073292991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Horace L Cline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154345353 PECOS PAC ID: 5991779480 Enrollment ID: I20040820000888 |
| Provider Name | Marsha Davette Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144745514 PECOS PAC ID: 7810263423 Enrollment ID: I20171026002351 |
| Provider Name | Robbie Leah Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558869404 PECOS PAC ID: 3173878071 Enrollment ID: I20180618002034 |
| Provider Name | Anne Hoban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295512069 PECOS PAC ID: 3577909993 Enrollment ID: I20240307003329 |
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