Camden Medical Clinic, Inc | |
160 Hospital Dr. Camden TN 38320 | |
(731) 279-0600 | |
(731) 279-0555 |
Full Name | Camden Medical Clinic, Inc |
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Speciality | Clinic/Center |
Location | 160 Hospital Dr., Camden, Tennessee |
Authorized Official Name and Position | Deborah T Wood (NURSE PRACTITIONER) |
Authorized Official Contact | 7312790600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Camden Medical Clinic, Inc 160 Hospital Dr. Camden TN 38320 Ph: (731) 279-0600 | Camden Medical Clinic, Inc 160 Hospital Dr. Camden TN 38320 Ph: (731) 279-0600 |
NPI Number | 1285612564 |
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Provider Enumeration Date | 01/06/2006 |
Last Update Date | 02/02/2011 |
Medicare PECOS PAC ID | 4385602358 |
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Medicare Enrollment ID | O20041221001038 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285612564 | NPI | - | NPPES |
3727780 | Medicaid | TN | |
44D0984486 | Other | CLIA NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | APN0000006407 (Tennessee) | Primary |
Provider Name | Deborah T Smothers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467648949 PECOS PAC ID: 2567420532 Enrollment ID: I20041222000132 |
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