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30267 Highland Dr Ardmore TN 38449-3216 | |
(615) 202-5242 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 30267 Highland Dr, Ardmore, Tennessee |
Authorized Official Name and Position | Melissa K Hammel (OWNER) |
Authorized Official Contact | 6152025242 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 39 Ardmore TN 38449-0039 Ph: (615) 202-5242 | 30267 Highland Dr Ardmore TN 38449-3216 Ph: (615) 202-5242 |
NPI Number | 1356879928 |
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Provider Enumeration Date | 05/26/2017 |
Last Update Date | 05/26/2017 |
Identifier | Type | State | Issuer |
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1356879928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 0000002446 (Tennessee) | Primary |