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661 E Broadway Blvd, Suite C, Jefferson City, TN 37760 | |
(865) 471-0466 | |
(865) 471-0468 |
Full Name | |
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Type | Facility |
Speciality | Audiologist |
Location | 661 E Broadway Blvd, Jefferson City, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548516354 | NPI | - | NPPES |
Q046151 | Medicaid | TN | |
4091430 | Other | TN | BLUECROSS BLUE SHIELD OF TN |
Provider Name | Teresa R Stepp |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1396748695 PECOS PAC ID: 1557321205 Enrollment ID: I20041016000057 |
Provider Name | Anna S Woods |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1760742662 PECOS PAC ID: 7618128877 Enrollment ID: I20121115000543 |
Mailing Address | Practice Location Address |
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661 E Broadway Blvd, Ste C, Jefferson City, TN 37760 Ph: (865) 471-0466 | 661 E Broadway Blvd, Suite C, Jefferson City, TN 37760 Ph: (865) 471-0466 |