| Evelyn M Frye Clinical Associates, Pc | |
|
310 25th Ave N Ste 204 Nashville TN 37203-2492 | |
| (615) 385-4090 | |
| (615) 385-0138 |
| Full Name | Evelyn M Frye Clinical Associates, Pc |
|---|---|
| Speciality | Counselor |
| Location | 310 25th Ave N Ste 204, Nashville, Tennessee |
| Authorized Official Name and Position | Kimberly Michelle Freeman (CREDENTIALING OFFICER) |
| Authorized Official Contact | 6153854090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evelyn M Frye Clinical Associates, Pc 310 25th Ave N Ste 204 Nashville TN 37203-2492 Ph: (615) 385-4090 | Evelyn M Frye Clinical Associates, Pc 310 25th Ave N Ste 204 Nashville TN 37203-2492 Ph: (615) 385-4090 |
| NPI Number | 1578514923 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 9739131780 |
|---|---|
| Medicare Enrollment ID | O20060110000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578514923 | NPI | - | NPPES |
| Provider Name | Mary Margaret Hock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720029143 PECOS PAC ID: 2668560673 Enrollment ID: I20071108000382 |
| Provider Name | Michelle Mcgruder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700214699 PECOS PAC ID: 0345476115 Enrollment ID: I20131127000142 |
| Provider Name | Jo S Offutt-blackaby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689063760 PECOS PAC ID: 0345568499 Enrollment ID: I20150421001957 |
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