Organization
HARTWELL EMERGENCY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE DAUCHERT (PRESIDENT)
(904) 805-1300
Entity
Organization
Contact information
Practice address
138 W GIBSON ST, HARTWELL, GA 30643-1847
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 532723, ATLANTA, GA 30353-2723
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02023
BCBS
GA
01
—
CH5236
RAILROAD MEDICARE
GA
01
—
GPA756
SC MEDICAID
GA
Enumeration date
06/10/2006
Last updated
09/11/2025
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