| Center For Adult Healthcare Llc | |
|
1629 Woodlawn Ave Dyersburg TN 38024-2025 | |
| (731) 285-2324 | |
| (731) 285-1440 |
| Full Name | Center For Adult Healthcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1629 Woodlawn Ave, Dyersburg, Tennessee |
| Authorized Official Name and Position | Debbie T Brewer (DIRECTOR) |
| Authorized Official Contact | 6154657626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Adult Healthcare Llc Po Box 689022 Provider Enrollment Department Franklin TN 37068-9022 Ph: () - | Center For Adult Healthcare Llc 1629 Woodlawn Ave Dyersburg TN 38024-2025 Ph: (731) 285-2324 |
| NPI Number | 1346419173 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 05/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346419173 | NPI | - | NPPES |
| 3370274 | Medicaid | TN | |
| 9140162 | Other | TN | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Tennessee) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (Tennessee) | Secondary |
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