Ardmore Family Medical Clinic | |
25495 Main St Ardmore TN 38449-3129 | |
(931) 427-6969 | |
(931) 427-6967 |
Full Name | Ardmore Family Medical Clinic |
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Speciality | Family Medicine |
Location | 25495 Main St, Ardmore, Tennessee |
Authorized Official Name and Position | Deborah R Verbeek (OWNER) |
Authorized Official Contact | 9314276969 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ardmore Family Medical Clinic 25495 Main St Ardmore TN 38449-3129 Ph: (931) 427-6969 | Ardmore Family Medical Clinic 25495 Main St Ardmore TN 38449-3129 Ph: (931) 427-6969 |
NPI Number | 1194835645 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 12/09/2010 |
Medicare PECOS PAC ID | 7012949746 |
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Medicare Enrollment ID | O20090814000472 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194835645 | NPI | - | NPPES |
529905610 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Deborah R Verbeek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194706937 PECOS PAC ID: 7911939640 Enrollment ID: I20090814000465 |
Provider Name | Kim E Goldinger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982910758 PECOS PAC ID: 8729277025 Enrollment ID: I20110118000448 |
Provider Name | Kenneth J Batchelor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205954799 PECOS PAC ID: 1557395589 Enrollment ID: I20131120001319 |
Provider Name | Holly Clem |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780008391 PECOS PAC ID: 4688806987 Enrollment ID: I20140421002040 |
Provider Name | Nicholas Christofidis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760878185 PECOS PAC ID: 4688986532 Enrollment ID: I20150706002661 |
Provider Name | Tiffany L Forst |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356859391 PECOS PAC ID: 4688922974 Enrollment ID: I20180802001614 |
Provider Name | Leslie Hogan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235557885 PECOS PAC ID: 7416171764 Enrollment ID: I20210317000559 |
Southern Tennessee Primary Care Ardmore Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26032 Main St, Ardmore, TN 38449 Phone: 931-427-3020 Fax: 931-427-3033 | |
Elkton Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1446 Bryson Rd, Ardmore, TN 38449 Phone: 931-468-2102 Fax: 931-468-2103 | |
Hh Physician Care-elkton Tennessee Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1446 Bryson Road, Ardmore, TN 38449 Phone: 931-468-2102 Fax: 931-468-2103 |