Provider Demographics
NPI:1538467949
Name:HARVEY J. SCHECTER, D.O., P.C. DBA TOTAL CARE
Entity Type:Organization
Organization Name:HARVEY J. SCHECTER, D.O., P.C. DBA TOTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:SCHECTER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:770-923-7500
Mailing Address - Street 1:976 KILLIAN HILL RD SW
Mailing Address - Street 2:SUITE A
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-3102
Mailing Address - Country:US
Mailing Address - Phone:770-923-7500
Mailing Address - Fax:770-923-7502
Practice Address - Street 1:976 KILLIAN HILL RD SW
Practice Address - Street 2:SUITE A
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-3102
Practice Address - Country:US
Practice Address - Phone:770-923-7500
Practice Address - Fax:770-923-7502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA15982261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000055833BMedicaid
GA000055833BMedicaid
F02989Medicare UPIN