DEWITT AND CHISOLM LLC NPI 1306910047

NPI Information

  • NPI: 1306910047
  • Provider Name: DEWITT AND CHISOLM, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: HENRY L. DEWITT, MD LLC
  • CLIA Number: 11D1015785
  • Address: 1500 OGLETHORPE AVE
    SUITE 3300
    ATHENS, GA
    ZIP 30606
  • Phone: (706) 208-1408

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NPI Details

DEWITT AND CHISOLM, LLC is a family medicine in Athens, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DEWITT AND CHISOLM, LLC NPI is 1306910047. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Henry L. Dewitt, Md Llc.

The provider's business location address is:

1500 OGLETHORPE AVE
SUITE 3300
ATHENS, GA
ZIP 30606-179
Phone: (706) 208-1408
Fax: (706) 208-1407

The provider's authorized official is Henry L Dewitt .
The authorized official title is Member and has the following contact phone number (706) 208-1408.

The CLIA number assigned to this NPI record is 11D1015785 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine055115GEORGIANo
2207Q00000XFamily Medicine027533GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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