Jose Alfredo Molina Moreno, | |
6800 Harrison Park Dr, Harrison, TN 37341-9621 | |
(423) 344-7095 | |
(423) 344-7569 |
Full Name | Jose Alfredo Molina Moreno |
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Gender | Male |
Speciality | Family Medicine |
Location | 6800 Harrison Park Dr, Harrison, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770040180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 64880 (Tennessee) | Primary |
Entity Name | Memorial Health Partners Foundation, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922053545 PECOS PAC ID: 8022919570 Enrollment ID: O20040116000823 |
Mailing Address | Practice Location Address |
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Jose Alfredo Molina Moreno, 6800 Harrison Park Dr, Harrison, TN 37341-9621 Ph: (423) 344-7095 | Jose Alfredo Molina Moreno, 6800 Harrison Park Dr, Harrison, TN 37341-9621 Ph: (423) 344-7095 |
Dr. Janak Naik, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6800 Harrison Park Dr, Harrison, TN 37341 Phone: 423-344-7095 Fax: 423-344-7569 | |
Erik Randall Ewing, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6800 Harrison Park Drive, Harrison, TN 37341 Phone: 423-344-7095 Fax: 423-344-7569 | |
Dr. Nicholas J Salt, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6800 Harrison Park Dr, Harrison, TN 37341 Phone: 423-344-7095 Fax: 423-344-7569 |