| Dayton Internal Medicine, Pllc | |
|
188 16th Ave Suite 107 Dayton TN 37321-1036 | |
| (423) 775-6933 | |
| (423) 775-3372 |
| Full Name | Dayton Internal Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 188 16th Ave, Dayton, Tennessee |
| Authorized Official Name and Position | Hak S. Seo (OWNER) |
| Authorized Official Contact | 4237756933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dayton Internal Medicine, Pllc 188 16th Ave Suite 107 Dayton TN 37321-1036 Ph: (423) 775-6933 | Dayton Internal Medicine, Pllc 188 16th Ave Suite 107 Dayton TN 37321-1036 Ph: (423) 775-6933 |
| NPI Number | 1942594841 |
|---|---|
| Provider Enumeration Date | 06/08/2011 |
| Last Update Date | 06/21/2011 |
| Medicare PECOS PAC ID | 6901075993 |
|---|---|
| Medicare Enrollment ID | O20110809000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942594841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 002990 (Georgia) | Primary |
| Provider Name | Hak S Seo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043471238 PECOS PAC ID: 4082883079 Enrollment ID: I20110809000093 |
| Provider Name | Katie Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447709845 PECOS PAC ID: 4082902879 Enrollment ID: I20171215000770 |
| Provider Name | Lindsay Michaela Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134626625 PECOS PAC ID: 1850647058 Enrollment ID: I20180702000184 |
| Provider Name | Hayley Brewster Ruebusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124674403 PECOS PAC ID: 1355672049 Enrollment ID: I20210303001162 |
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