Agape Family Wellness Clinic | |
101 Hospital Dr Camden TN 38320-1617 | |
(731) 584-2020 | |
Not Available |
Full Name | Agape Family Wellness Clinic |
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Speciality | General Practice |
Location | 101 Hospital Dr, Camden, Tennessee |
Authorized Official Name and Position | Verneda Herring (FNP) |
Authorized Official Contact | 7315842020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Agape Family Wellness Clinic 101 Hospital Dr Camden TN 38320-1617 Ph: (731) 584-2020 | Agape Family Wellness Clinic 101 Hospital Dr Camden TN 38320-1617 Ph: (731) 584-2020 |
NPI Number | 1831511146 |
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Provider Enumeration Date | 01/07/2014 |
Last Update Date | 12/30/2014 |
Medicare PECOS PAC ID | 2668695750 |
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Medicare Enrollment ID | O20140517000127 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831511146 | NPI | - | NPPES |
Q004839 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 15484 (Tennessee) | Primary |
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