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133 Hayes Street Crossville TN 38555 | |
| (931) 456-9434 | |
| (931) 456-5061 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 133 Hayes Street, Crossville, Tennessee |
| Authorized Official Name and Position | Angel Suzanne Turner (DIRECTOR) |
| Authorized Official Contact | 9314569434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
421 S Main St Crossville TN 38555-5048 Ph: (931) 456-9434 | 133 Hayes Street Crossville TN 38555 Ph: (931) 456-9434 |
| NPI Number | 1053377812 |
|---|---|
| Provider Enumeration Date | 04/21/2006 |
| Last Update Date | 07/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053377812 | NPI | - | NPPES |
| 3284115 | Medicaid | TN | |
| 443432 | Other | TN | MEDICAID RHC |
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