Panhandle Family Medicine, PA
Organization Active NPI Family Medicine Physician · Chipley, FL
NPI 1326378282 · NPPES record last updated Dec 28, 2009
Key facts
- NPI
- 1326378282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS8371 (FL)
- Legal business name
- PANHANDLE FAMILY MEDICINE, PA
- Practice address
- 877 3Rd St
Suite 4
Chipley, FL 32428-1827 - Phone
- (850) 638-4555
- Fax
- (850) 638-9190
- NPI assigned
- Dec 28, 2009
- Organization subpart
- No
Authorized official
- Name
- Ayshia Ellis Hatcher, MSM
- Title
- Practice Manager
- Phone
- (850) 638-4555
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | OS8371 | FL | Yes |
Addresses
Primary practice location
877 3Rd St
Suite 4
Chipley, FL 32428-1827
Mailing address
877 3Rd St
Suite 4
Chipley, FL 32428-1827
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W2D | Other | FL | BCBS FACILITY |
Other providers in Chipley, FL
- One Way Counseling and Coaching, LLC
- P&G Medicine, LLC
- Pancare of Florida, Inc
- Pancare of Florida, Inc
- Panhandle Family Medicine PA
- Panhandle Pediatric Therapy LLC
- Diviya Sampatrai Patel
- Chad Pomes
- Annette Griffin Porter
- Precision Eye Care LTD
All providers in Chipley, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.