Centerwell Senior Primary Care-clarksville | |
1947 Madison St Ste B Clarksville TN 37043-8033 | |
(931) 614-7169 | |
(502) 402-5029 |
Full Name | Centerwell Senior Primary Care-clarksville |
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Speciality | Internal Medicine |
Location | 1947 Madison St Ste B, Clarksville, Tennessee |
Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
Authorized Official Contact | 4074477120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Centerwell Senior Primary Care-clarksville 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Centerwell Senior Primary Care-clarksville 1947 Madison St Ste B Clarksville TN 37043-8033 Ph: (931) 614-7169 |
NPI Number | 1255061743 |
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Provider Enumeration Date | 06/16/2022 |
Last Update Date | 07/03/2024 |
Identifier | Type | State | Issuer |
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1255061743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
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