Joseph Wayne Chauncey
Individual provider Active NPI Physical Therapy Assistant · Hiawassee, GA
NPI 1508529876 · NPPES record last updated Oct 14, 2021
Key facts
- NPI
- 1508529876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA004310 (GA)
- Practice address
- 386 Belaire Dr
Hiawassee, GA 30546-3313 - Phone
- (706) 400-1123
- NPI assigned
- Oct 14, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA004310 | GA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA004310 | GA | Yes |
Addresses
Primary practice location
386 Belaire Dr
Hiawassee, GA 30546-3313
Mailing address
8595 Soapstone Creek Cir
Hiawassee, GA 30546
Phone (706) 400-1123
Other providers in Hiawassee, GA
- Chatuge Regional Hospital Inc
- Chatuge Regional Hospital Inc
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- Chatuge Regional Hospital Inc
- Chatuge Regional Hospital Inc
- Samuel Leroy Church
- Tammy W Clark
- Rhonda Paige Collins
- Cynthia Coronel
- D. Bryan Johnson, MD PC
All providers in Hiawassee, GA · Physical Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2021. 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.