Allied Medical Clinic, Inc. | |
1140 Topside Rd Louisville TN 37777-5562 | |
(800) 684-6614 | |
Not Available |
Full Name | Allied Medical Clinic, Inc. |
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Speciality | General Practice |
Location | 1140 Topside Rd, Louisville, Tennessee |
Authorized Official Name and Position | Steve Mcgrew (BUSINESS MANGER) |
Authorized Official Contact | 8659797747 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Allied Medical Clinic, Inc. Po Box 14 Louisville TN 37777-0014 Ph: (800) 684-6614 | Allied Medical Clinic, Inc. 1140 Topside Rd Louisville TN 37777-5562 Ph: (800) 684-6614 |
NPI Number | 1851595417 |
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Provider Enumeration Date | 06/14/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9537314430 |
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Medicare Enrollment ID | O20130226000365 |
Identifier | Type | State | Issuer |
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1851595417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 682 (Tennessee) | Primary |
Provider Name | Manju Khanna |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043287899 PECOS PAC ID: 1557257490 Enrollment ID: I20040226000393 |
Provider Name | Sara K Overly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245781186 PECOS PAC ID: 9032484886 Enrollment ID: I20171004003760 |