| Comprehensive Primary Care Pllc | |
|
76 Capital Way Suite C Atoka TN 38004-6832 | |
| (901) 840-1202 | |
| (901) 840-1204 |
| Full Name | Comprehensive Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 76 Capital Way, Atoka, Tennessee |
| Authorized Official Name and Position | William Clay Jackson (CEO) |
| Authorized Official Contact | 9018401202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Primary Care Pllc 76 Capital Way Suite C Atoka TN 38004-6832 Ph: (901) 840-1202 | Comprehensive Primary Care Pllc 76 Capital Way Suite C Atoka TN 38004-6832 Ph: (901) 840-1202 |
| NPI Number | 1245419043 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 02/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245419043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31696 (Tennessee) | Primary |
Atoka Medical Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Commercial Dr, Atoka, TN 38004 Phone: 901-296-1156 Fax: 901-296-0430 |