| Broadway Family Practice | |
|
1179 Highway 11w Bean Station TN 37708 | |
| (865) 993-1070 | |
| (865) 993-1075 |
| Full Name | Broadway Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1179 Highway 11w, Bean Station, Tennessee |
| Authorized Official Name and Position | Shannon Shultz (OWNER) |
| Authorized Official Contact | 8659931070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Family Practice 1179 Highway 11w Bean Station TN 37708-5809 Ph: (865) 993-1070 | Broadway Family Practice 1179 Highway 11w Bean Station TN 37708 Ph: (865) 993-1070 |
| NPI Number | 1578092938 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578092938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Bean Station Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1179 Highway 11w, Bean Station, TN 37708 Phone: 865-993-1070 Fax: 865-993-1075 | |
Southern Care Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1179 Highway 11w, Bean Station, TN 37708 Phone: 865-898-8318 | |
Hometown Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1034 Main St Ste B, Bean Station, TN 37708 Phone: 865-203-5077 | |
William L. Martin Ii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 Main St, Bean Station, TN 37708 Phone: 865-993-4135 Fax: 865-993-4108 |