Organization
CHICHESTERS INGLESIDE
Active
Other names
CHICHESTERS INGLESIDE
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WRIGHT (OWNER)
(478) 746-9608
Entity
Organization
Contact information
Practice address
3051 VINEVILLE AVE, MACON, GA 31204-2460
(478) 746-9608
(478) 742-6437
Mailing address
3051 VINEVILLE AVE, MACON, GA 31204-2460
(478) 746-9608
(478) 742-6437
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE000280
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00023207A
—
GA
01
—
1111638
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/05/2007
Last updated
01/28/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up