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216 E Main St Bradford TN 38316-8651 | |
(731) 742-2241 | |
(731) 742-3935 |
Full Name | |
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Speciality | Family Medicine |
Location | 216 E Main St, Bradford, Tennessee |
Authorized Official Name and Position | Jama M Phillips (DIRECTOR PHYSICIAN BILLING) |
Authorized Official Contact | 7315121510 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1804 Highway 45 Byp Suite 604 Jackson TN 38305-4436 Ph: (731) 660-8759 | 216 E Main St Bradford TN 38316-8651 Ph: (731) 742-2241 |
NPI Number | 1912931189 |
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Provider Enumeration Date | 07/11/2006 |
Last Update Date | 05/16/2008 |
Identifier | Type | State | Issuer |
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1912931189 | NPI | - | NPPES |