| Richard Whitaker, MD | |
|
705 Dixie St, Carrollton, GA 30117-3818 | |
| (770) 836-9666 | |
| Not Available |
| Full Name | Richard Whitaker |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 705 Dixie St, Carrollton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265499867 | NPI | - | NPPES |
| 074623150A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 056783 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 056783 (Georgia) | Primary |
| Entity Name | Carrollton Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790724672 PECOS PAC ID: 7416860010 Enrollment ID: O20040122001028 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Whitaker, MD 1581 Stripling Chapel Rd, Carrollton, GA 30116-6908 Ph: () - | Richard Whitaker, MD 705 Dixie St, Carrollton, GA 30117-3818 Ph: (770) 836-9666 |
Brett Wynn, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
Jesse Mitchell Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
Nathan Hundley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-812-9597 | |
Michael Eckert, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Tanner Health Systems, Emergency Dept, Carrollton, GA 30117 Phone: 770-836-9666 | |
Theodore Nicholson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
Timothy Paul, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 |