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2400 Denso Dr Athens TN 37303-7835 | |
(423) 745-0303 | |
(423) 745-0306 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 2400 Denso Dr, Athens, Tennessee |
Authorized Official Name and Position | Jonathan B Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | 2400 Denso Dr Athens TN 37303-7835 Ph: (423) 745-0303 |
NPI Number | 1336740414 |
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Provider Enumeration Date | 11/04/2020 |
Last Update Date | 08/15/2022 |
Identifier | Type | State | Issuer |
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1336740414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Donald H. Watters Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Cook Dr, Suite 200, Athens, TN 37303 Phone: 423-507-8369 Fax: 423-507-8387 | |