Individual
CHEHADA ANTHONY HATOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21694
WV
208M00000X
Hospitalist Physician
Primary
65123
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4169766
BCBS OF TN
TN
Enumeration date
07/14/2006
Last updated
12/03/2020
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