Hutcheson Primary Care, Llc | |
230 Lafayette Rd Chickamauga GA 30707-1707 | |
(706) 375-9400 | |
(423) 495-7887 |
Full Name | Hutcheson Primary Care, Llc |
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Speciality | Family Medicine |
Location | 230 Lafayette Rd, Chickamauga, Georgia |
Authorized Official Name and Position | Willis Greer (MEDICAL DIRECTOR) |
Authorized Official Contact | 7063759400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hutcheson Primary Care, Llc 230 Lafayette Rd Chickamauga GA 30707-1707 Ph: (706) 375-9400 | Hutcheson Primary Care, Llc 230 Lafayette Rd Chickamauga GA 30707-1707 Ph: (706) 375-9400 |
NPI Number | 1992751747 |
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Provider Enumeration Date | 05/25/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0941112163 |
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Medicare Enrollment ID | O20031105000146 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992751747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Charles L Tapley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679547061 PECOS PAC ID: 0446163554 Enrollment ID: I20031106000019 |
Provider Name | Lisa I Griggs |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073563250 PECOS PAC ID: 6800855313 Enrollment ID: I20051028000192 |
Provider Name | Dianne C Roland |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1740279462 PECOS PAC ID: 8921007386 Enrollment ID: I20061212000478 |
Provider Name | Connie L Witt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902804297 PECOS PAC ID: 5991617219 Enrollment ID: I20080226000805 |
Provider Name | John Carter Hemphill |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1912188897 PECOS PAC ID: 8022161702 Enrollment ID: I20090728000457 |
Provider Name | John E Carter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427022524 PECOS PAC ID: 0749319796 Enrollment ID: I20100601000057 |
Provider Name | John V Golding |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1255307575 PECOS PAC ID: 6507845898 Enrollment ID: I20110922000058 |
Provider Name | Michael A Love |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1093789273 PECOS PAC ID: 6204865314 Enrollment ID: I20111116000836 |
Provider Name | Robert L Huang |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1477596328 PECOS PAC ID: 6002848793 Enrollment ID: I20120717000029 |
Provider Name | Mitchell L Mutter |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1326047622 PECOS PAC ID: 6507824216 Enrollment ID: I20120724000398 |
Provider Name | Crystal L Hancock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881019305 PECOS PAC ID: 1153544457 Enrollment ID: I20140513001669 |
Provider Name | Paula H Obear |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871938266 PECOS PAC ID: 3173765260 Enrollment ID: I20150409000719 |
Provider Name | Stephanie E Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952798019 PECOS PAC ID: 7517279060 Enrollment ID: I20150713000164 |