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711 Cook Dr Suite 100 Athens TN 37303-3486 | |
(423) 744-7585 | |
(423) 744-7075 |
Full Name | |
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Speciality | Clinic/Center |
Location | 711 Cook Dr, Athens, Tennessee |
Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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711 Cook Dr Suite 100 Athens TN 37303-3486 Ph: (423) 744-7585 | 711 Cook Dr Suite 100 Athens TN 37303-3486 Ph: (423) 744-7585 |
NPI Number | 1629097738 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 09/16/2024 |
Medicare PECOS PAC ID | 2163490319 |
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Medicare Enrollment ID | O20140204000857 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629097738 | NPI | - | NPPES |
3374003 | Medicaid | TN |
Donald H. Watters Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Cook Dr, Suite 200, Athens, TN 37303 Phone: 423-507-8369 Fax: 423-507-8387 | |