| |
66 Sunrise Park Winchester TN 37398-2345 | |
(931) 962-3001 | |
(931) 962-3004 |
Full Name | |
---|---|
Speciality | General Practice |
Location | 66 Sunrise Park, Winchester, Tennessee |
Authorized Official Name and Position | Steven Stewart (ADMINISTRATOR) |
Authorized Official Contact | 9319623001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
66 Sunrise Park Winchester TN 37398-2345 Ph: (931) 962-3001 | 66 Sunrise Park Winchester TN 37398-2345 Ph: (931) 962-3001 |
NPI Number | 1982791141 |
---|---|
Provider Enumeration Date | 10/09/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982791141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |