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Organization
PANHANDLE FAMILY MEDICINE, PA
Active
Organization
PANHANDLE FAMILY MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYSHIA ELLIS HATCHER MSM (PRACTICE MANAGER)
(850) 638-4555
Entity
Organization
Contact information
Practice address
877 3RD ST, SUITE 4, CHIPLEY, FL 32428-1827
(850) 638-4555
(850) 638-9190
Mailing address
877 3RD ST, SUITE 4, CHIPLEY, FL 32428-1827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS8371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W2D
BCBS FACILITY
FL
Enumeration date
12/28/2009
Last updated
12/28/2009
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