| Charles R. Adcock, Mdpc | |
|
520 E 12th St South Pittsburg TN 37380-1633 | |
| (423) 837-7144 | |
| (423) 837-8428 |
| Full Name | Charles R. Adcock, Mdpc |
|---|---|
| Speciality | Family Medicine |
| Location | 520 E 12th St, South Pittsburg, Tennessee |
| Authorized Official Name and Position | Terry Lea Burrows (OFFICE MANAGER) |
| Authorized Official Contact | 4238377144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles R. Adcock, Mdpc 520 E 12th St South Pittsburg TN 37380-1633 Ph: (423) 837-7144 | Charles R. Adcock, Mdpc 520 E 12th St South Pittsburg TN 37380-1633 Ph: (423) 837-7144 |
| NPI Number | 1649460213 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 01/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649460213 | NPI | - | NPPES |
| C10664 | Other | TN | MEDICARE RAILROAD |
| 3723335 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD011688 (Tennessee) | Primary |
Urgent Team Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 625 E 12th St, South Pittsburg, TN 37380 Phone: 423-648-4460 Fax: 423-648-4461 | |
One To One Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Railroad Ave, South Pittsburg, TN 37380 Phone: 615-473-8984 |