Lychannel Ticole Head
Specialist
About Lychannel Ticole Head
Lychannel Ticole Head is a female healthcare professional specializing in Specialist, registered under National Provider Identifier (NPI) number 1871163097. Lychannel Ticole Head received her medical education at OTHER, graduating in 2022.
Their primary practice is located at 4865 BILL GARDNER PKWY, Locust Grove, Georgia 30248. Patients can reach the office at (770) 692-0100. Lychannel Ticole Head is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.
Lychannel Ticole Head has been NPI-registered since 2021.
Key Metrics
Rx Claims
115
$4,931.85
Practice Locations
1
Doctor Details
Identity & Credentials
- NPI Number
- 1871163097
- Entity Type
- Individual
- First Name
- Lychannel
- Last Name
- Head
- Gender
- Female
- Medical School
- OTHER
- Graduation Year
- 2022
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 4865 BILL GARDNER PKWY
- City
- Locust Grove
- State
- Georgia
- ZIP
- 30248-3644
- Country
- United States
- Phone
- (770) 692-0100
Specialty & Taxonomy
- Primary Specialty
- Specialist
- Classification
- Specialist
- Taxonomy Code
- 174400000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 4865 BILL GARDNER PKWY
- City
- LOCUST GROVE
- State
- GA
- ZIP
- 302483644
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Lychannel Ticole Head's NPI number?
What does Lychannel Ticole Head specialize in?
Where is Lychannel Ticole Head located?
Does Lychannel Ticole Head accept Medicare?
Does Lychannel Ticole Head offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Lychannel Ticole Head is 1871163097.