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1202 N Charles G Seivers Blvd Ste A Clinton TN 37716-3936 | |
(865) 457-0192 | |
(865) 457-2284 |
Full Name | |
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Speciality | Clinic/center - Physical Therapy |
Location | 1202 N Charles G Seivers Blvd Ste A, Clinton, Tennessee |
Authorized Official Name and Position | Troy Bage (PRESIDENT) |
Authorized Official Contact | 4232387217 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8823 Production Ln Ooltewah TN 37363-6511 Ph: (423) 238-7217 | 1202 N Charles G Seivers Blvd Ste A Clinton TN 37716-3936 Ph: (865) 457-0192 |
NPI Number | 1124295886 |
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Provider Enumeration Date | 05/13/2008 |
Last Update Date | 06/24/2010 |
Identifier | Type | State | Issuer |
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1124295886 | NPI | - | NPPES |
03650060 | Medicaid | TN | |
3156797 | Other | TN | BCBST GROUP # |
Cherokee Health Systems Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 165 Frank L Diggs Dr, Clinton, TN 37716 Phone: 865-934-6150 Fax: 865-342-0150 | |