| |
1600 Mcarthur St, Manchester, TN 37355-2522 | |
(931) 723-7950 | |
(931) 723-7950 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Pain |
Location | 1600 Mcarthur St, Manchester, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982972857 | NPI | - | NPPES |
Provider Name | James E Roth |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1437105608 PECOS PAC ID: 1557263316 Enrollment ID: I20081006000352 |
Provider Name | Jana M Stovall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811317068 PECOS PAC ID: 0042432544 Enrollment ID: I20141118002027 |
Mailing Address | Practice Location Address |
---|---|
Po Box 437, Manchester, TN 37349-0437 Ph: (931) 723-7950 | 1600 Mcarthur St, Manchester, TN 37355-2522 Ph: (931) 723-7950 |