Ten Broeck Tennessee Physicians Group Inc | |
819 N 1st St Dennison OH 44621-1003 | |
(740) 922-7415 | |
(740) 922-7413 |
Full Name | Ten Broeck Tennessee Physicians Group Inc |
---|---|
Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
Location | 819 N 1st St, Dennison, Ohio |
Authorized Official Name and Position | Glenda F Guy (DIRECTOR, COMPLIANCE) |
Authorized Official Contact | 9316076513 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ten Broeck Tennessee Physicians Group Inc Po Box 1100 Windermere FL 34786-1100 Ph: (931) 607-6513 | Ten Broeck Tennessee Physicians Group Inc 819 N 1st St Dennison OH 44621-1003 Ph: (740) 922-7415 |
NPI Number | 1265022974 |
---|---|
Provider Enumeration Date | 01/26/2021 |
Last Update Date | 01/26/2021 |
Certification Date | 01/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265022974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |