Comprehensive Medical Care, P.c. | |
6918 Shallowford Rd Suite 206 Chattanooga TN 37421-6784 | |
(423) 855-2552 | |
Not Available |
Full Name | Comprehensive Medical Care, P.c. |
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Speciality | Pediatrics |
Location | 6918 Shallowford Rd, Chattanooga, Tennessee |
Authorized Official Name and Position | Ron B Whitmire (ADMINISTRATOR) |
Authorized Official Contact | 4238552552 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Medical Care, P.c. 6918 Shallowford Rd Suite 206 Chattanooga TN 37421-6784 Ph: (423) 855-2552 | Comprehensive Medical Care, P.c. 6918 Shallowford Rd Suite 206 Chattanooga TN 37421-6784 Ph: (423) 855-2552 |
NPI Number | 1316915986 |
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Provider Enumeration Date | 03/09/2006 |
Last Update Date | 09/30/2015 |
Medicare PECOS PAC ID | 9931181781 |
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Medicare Enrollment ID | O20040604000274 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316915986 | NPI | - | NPPES |
3702022 | Medicaid | TN |
Provider Name | Arif N/a Shafi |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1356339972 PECOS PAC ID: 6406830033 Enrollment ID: I20040614000405 |
Provider Name | Ronald L Molloy |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1831187541 PECOS PAC ID: 3476537036 Enrollment ID: I20040614000601 |
Provider Name | Lonard C Rigsby |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942285523 PECOS PAC ID: 8820992944 Enrollment ID: I20040615001485 |
Provider Name | Kaukab Naseer |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1326036930 PECOS PAC ID: 2365427077 Enrollment ID: I20040618000458 |
Provider Name | Heather C Montgomery |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629203310 PECOS PAC ID: 0749333227 Enrollment ID: I20090730000503 |
Provider Name | Joel L Bremer |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1962490664 PECOS PAC ID: 7012050214 Enrollment ID: I20100211000001 |
Provider Name | Mark W Bookout |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1356339063 PECOS PAC ID: 8921141128 Enrollment ID: I20100211000002 |
Provider Name | Kevin Lorenzo Collins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518397132 PECOS PAC ID: 4486884806 Enrollment ID: I20140305000579 |
Provider Name | Jerin C Alexander |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508411729 PECOS PAC ID: 0345571899 Enrollment ID: I20191014002950 |
Provider Name | Joy Nicole Gray |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699344176 PECOS PAC ID: 3173911302 Enrollment ID: I20211020003172 |
Provider Name | Viktoriya N Malashiy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538873625 PECOS PAC ID: 9739553090 Enrollment ID: I20230328001818 |
Terry W. Smith M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6237 Vance Rd, Suite 3, Chattanooga, TN 37421 Phone: 423-551-3940 Fax: 423-305-7981 | |
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