A Pattern Health Inc Pc | |
3300 Wilcox Blvd Chattanooga TN 37411-3023 | |
(423) 509-4575 | |
Not Available |
Full Name | A Pattern Health Inc Pc |
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Speciality | Family Medicine |
Location | 3300 Wilcox Blvd, Chattanooga, Tennessee |
Authorized Official Name and Position | Julie-ann Grant (TREASURY) |
Authorized Official Contact | 4235094575 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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A Pattern Health Inc Pc 3300 Wilcox Blvd Chattanooga TN 37411-3023 Ph: (423) 509-4575 | A Pattern Health Inc Pc 3300 Wilcox Blvd Chattanooga TN 37411-3023 Ph: (423) 509-4575 |
NPI Number | 1417643693 |
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Provider Enumeration Date | 04/12/2023 |
Last Update Date | 09/19/2023 |
Medicare PECOS PAC ID | 2769832328 |
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Medicare Enrollment ID | O20231221002868 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417643693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | John Franklin Samples |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518325463 PECOS PAC ID: 4981989878 Enrollment ID: I20181226000176 |
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