| Glenn Paul Hittel, MD | |
|
150 Gentilly Blvd, Cartersville, GA 30120-8522 | |
| (770) 382-2580 | |
| (770) 386-7910 |
| Full Name | Glenn Paul Hittel |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 150 Gentilly Blvd, Cartersville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215098090 | NPI | - | NPPES |
| 000457564B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 034159 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 034159 (Georgia) | Primary |
| Entity Name | Harbin Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679599088 PECOS PAC ID: 0446154231 Enrollment ID: O20031124000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Paul Hittel, MD 221 Technology Pkwy Nw, Rome, GA 30165-1369 Ph: (762) 235-1000 | Glenn Paul Hittel, MD 150 Gentilly Blvd, Cartersville, GA 30120-8522 Ph: (770) 382-2580 |
Dr. Nandakishore Polkampalli, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 606-573-4520 | |
Pouria Hosseini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 470-490-2142 | |
Donna Watters Gregory, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7470 Fax: 770-386-7910 | |
Robert F. Parham, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 218 Stonewall St, Cartersville, GA 30120 Phone: 770-386-1907 Fax: 770-607-0883 | |
Dr. Richard H Britton Ii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Fox Chase, Cartersville, GA 30120 Phone: 770-382-0185 Fax: 770-382-0247 | |
Dr. Khalil Na'im Sharif, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 470-490-2142 | |
Kate Reker Raymond, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 770-382-2580 Fax: 770-386-7910 |