Provider Demographics
NPI:1558857086
Name:HCM GROUP, LLC
Entity Type:Organization
Organization Name:HCM GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:KEELE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-803-2941
Mailing Address - Street 1:36 DOCTORS PARK STE 2
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63703-4904
Mailing Address - Country:US
Mailing Address - Phone:573-803-2941
Mailing Address - Fax:573-803-0815
Practice Address - Street 1:36 DOCTORS PARK STE 2
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-4904
Practice Address - Country:US
Practice Address - Phone:573-803-2941
Practice Address - Fax:573-803-0815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002008827207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty