| Anew Family Medical Pllc | |
|
111 Front St Henderson TN 38340-2313 | |
| (731) 989-2829 | |
| (731) 520-0230 |
| Full Name | Anew Family Medical Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 111 Front St, Henderson, Tennessee |
| Authorized Official Name and Position | Katherine N Moore-rhodes (OWNER) |
| Authorized Official Contact | 7319892829 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anew Family Medical Pllc 111 Front St Henderson TN 38340-2313 Ph: (731) 989-2829 | Anew Family Medical Pllc 111 Front St Henderson TN 38340-2313 Ph: (731) 989-2829 |
| NPI Number | 1386260792 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 10/27/2020 |
| Medicare PECOS PAC ID | 7012334873 |
|---|---|
| Medicare Enrollment ID | O20200826000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386260792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
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