Willis Greer
Individual provider Active NPI Family Medicine Physician · Chickamauga, GA
NPI 1497729990 · NPPES record last updated Aug 9, 2012
Key facts
- NPI
- 1497729990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 46964 (GA)
- Practice address
- 101 Kington LN
Chickamauga, GA 30707-1991 - Phone
- (706) 375-9400
- Fax
- (706) 375-9491
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46964 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hutcheson Primary Care, LLC | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 46964 | GA | Yes |
Addresses
Primary practice location
101 Kington LN
Chickamauga, GA 30707-1991
Mailing address
101 Kington LN
Chickamauga, GA 30707-1991
Phone (706) 375-9400
Other providers in Chickamauga, GA
- Chickamauga Drug Store, LLC
- Jessica Marie Denton
- Jada Mackaye Erickson
- Daniel K Gann
- Douglas M Graydon
- Shaina Davis Gross
- Kristen C Hampton
- Lori Kristen Haney
- Jennifer Elizabeth Holdaway
- Hutcheson Primary Care, LLC
All providers in Chickamauga, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2012. 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.