| Collinwood Medical Clinic | |
|
902 Hwy 13 S Collinwood TN 38450-0215 | |
| (931) 724-9135 | |
| (931) 724-4572 |
| Full Name | Collinwood Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 902 Hwy 13 S, Collinwood, Tennessee |
| Authorized Official Name and Position | David Mandresa Magas (OWNER) |
| Authorized Official Contact | 9317249135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collinwood Medical Clinic Po Box 215 902 Hwy 13 S Collinwood TN 38450-0215 Ph: (931) 724-9135 | Collinwood Medical Clinic 902 Hwy 13 S Collinwood TN 38450-0215 Ph: (931) 724-9135 |
| NPI Number | 1750446829 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 06/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750446829 | NPI | - | NPPES |
| 3028025 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17846 (Tennessee) | Primary |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 E Tennessee St, Collinwood, TN 38450 Phone: 931-724-9000 Fax: 731-724-5577 | |
Mrmg Collinwood Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 902 Highway 13 S, Collinwood, TN 38450 Phone: 931-724-9135 Fax: 931-724-4572 |