| Chamberlin Clinic, Pa | |
|
8316 Macon Ter Suite 103 Cordova TN 38018-8505 | |
| (901) 757-0568 | |
| (901) 754-8247 |
| Full Name | Chamberlin Clinic, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8316 Macon Ter, Cordova, Tennessee |
| Authorized Official Name and Position | Paulette Dickerson (PRACTICE MANAGER) |
| Authorized Official Contact | 9017570568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chamberlin Clinic, Pa 8316 Macon Ter Suite 103 Cordova TN 38018-8505 Ph: (901) 757-0568 | Chamberlin Clinic, Pa 8316 Macon Ter Suite 103 Cordova TN 38018-8505 Ph: (901) 757-0568 |
| NPI Number | 1730374372 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 08/28/2014 |
| Medicare PECOS PAC ID | 9739081761 |
|---|---|
| Medicare Enrollment ID | O20040927000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730374372 | NPI | - | NPPES |
| Provider Name | Nanetta R Walls |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801966916 PECOS PAC ID: 5698660942 Enrollment ID: I20040217000316 |
| Provider Name | Angela C Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326046707 PECOS PAC ID: 5092867598 Enrollment ID: I20090714000626 |
| Provider Name | Kimberly D Mcdaniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467555201 PECOS PAC ID: 3577536077 Enrollment ID: I20121114000112 |
| Provider Name | Jacqueline Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114466125 PECOS PAC ID: 9335415421 Enrollment ID: I20171017002131 |
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