| Cherokee Medical Clinic Llc | |
|
900 W Main St Ste 2 Rogersville TN 37857-2453 | |
| (423) 500-1200 | |
| (423) 500-1201 |
| Full Name | Cherokee Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 900 W Main St Ste 2, Rogersville, Tennessee |
| Authorized Official Name and Position | Susan Flaglor (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4235001200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherokee Medical Clinic Llc Po Box 391 Rogersville TN 37857-0391 Ph: (423) 500-1200 | Cherokee Medical Clinic Llc 900 W Main St Ste 2 Rogersville TN 37857-2453 Ph: (423) 500-1200 |
| NPI Number | 1336643220 |
|---|---|
| Provider Enumeration Date | 03/23/2018 |
| Last Update Date | 03/23/2018 |
| Medicare PECOS PAC ID | 6507115276 |
|---|---|
| Medicare Enrollment ID | O20180814003275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336643220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Susan Flaglor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851300990 PECOS PAC ID: 0244373512 Enrollment ID: I20100209000311 |
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Carewell Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 S Depot St Ste D2, Rogersville, TN 37857 Phone: 423-528-1454 Fax: 844-433-0038 | |
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