| Concord Family Practice | |
|
10430 Lovell Center Dr Knoxville TN 37922-3227 | |
| (865) 693-6620 | |
| Not Available |
| Full Name | Concord Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 10430 Lovell Center Dr, Knoxville, Tennessee |
| Authorized Official Name and Position | Changwen Chen (MD) |
| Authorized Official Contact | 8656936620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Family Practice 10430 Lovell Center Dr Knoxville TN 37922-3227 Ph: (865) 693-6620 | Concord Family Practice 10430 Lovell Center Dr Knoxville TN 37922-3227 Ph: (865) 693-6620 |
| NPI Number | 1306145826 |
|---|---|
| Provider Enumeration Date | 03/23/2011 |
| Last Update Date | 03/11/2024 |
| Medicare PECOS PAC ID | 7719156710 |
|---|---|
| Medicare Enrollment ID | O20180613002030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306145826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cecily Racheal Patmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134433998 PECOS PAC ID: 2466635651 Enrollment ID: I20110325000166 |
| Provider Name | Changwen Chen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033220314 PECOS PAC ID: 3476739954 Enrollment ID: I20110518000009 |
| Provider Name | Sherrie Corgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295133676 PECOS PAC ID: 5193042554 Enrollment ID: I20150323002505 |
| Provider Name | Logan Dameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083260764 PECOS PAC ID: 4486081924 Enrollment ID: I20200224001410 |
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