| Callie Medical Group Llc | |
|
200 Highway 52 Byp E Ste D Lafayette TN 37083-1356 | |
| (615) 821-0898 | |
| (615) 821-0899 |
| Full Name | Callie Medical Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Highway 52 Byp E Ste D, Lafayette, Tennessee |
| Authorized Official Name and Position | Jamii J Johnson (OWNER) |
| Authorized Official Contact | 6158210898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Callie Medical Group Llc 3068 Whitland Crossing Dr Nashville TN 37214-3567 Ph: (615) 821-0898 | Callie Medical Group Llc 200 Highway 52 Byp E Ste D Lafayette TN 37083-1356 Ph: (615) 821-0898 |
| NPI Number | 1730670092 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 05/22/2018 |
| Medicare PECOS PAC ID | 2264782325 |
|---|---|
| Medicare Enrollment ID | O20180911002029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730670092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Millard D Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952389173 PECOS PAC ID: 5395710495 Enrollment ID: I20040901000365 |
| Provider Name | Jamii Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275888992 PECOS PAC ID: 2365756087 Enrollment ID: I20150807014588 |
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