| Crossville Family Medicine Llc | |
|
1645 S Main St Ste 101 Crossville TN 38555-5998 | |
| (931) 484-7531 | |
| (931) 456-9515 |
| Full Name | Crossville Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1645 S Main St Ste 101, Crossville, Tennessee |
| Authorized Official Name and Position | Allison M Simms (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9314847531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossville Family Medicine Llc 1645 S Main St Ste 101 Crossville TN 38555-5998 Ph: (931) 484-7531 | Crossville Family Medicine Llc 1645 S Main St Ste 101 Crossville TN 38555-5998 Ph: (931) 484-7531 |
| NPI Number | 1093349169 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 02/27/2020 |
| Medicare PECOS PAC ID | 9739500059 |
|---|---|
| Medicare Enrollment ID | O20200521002961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093349169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Allison Marie Simms |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801137633 PECOS PAC ID: 4587896501 Enrollment ID: I20200521002994 |
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