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100 N Main St Rm 105 Clinton TN 37716-3623 | |
(865) 259-6900 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 100 N Main St Rm 105, Clinton, Tennessee |
Authorized Official Name and Position | Jonathan 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 Brentwood TN 37027-7048 Ph: () - | 100 N Main St Rm 105 Clinton TN 37716-3623 Ph: (865) 259-6900 |
NPI Number | 1356017875 |
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Provider Enumeration Date | 08/17/2021 |
Last Update Date | 09/15/2022 |
Identifier | Type | State | Issuer |
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1356017875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Cherokee Health Systems Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 165 Frank L Diggs Dr, Clinton, TN 37716 Phone: 865-934-6150 Fax: 865-342-0150 | |