| Dba: Alpha Omega Family Medicine | |
|
1119 E College St Suite 3 Pulaski TN 38478-4563 | |
| (931) 424-8881 | |
| (931) 424-5385 |
| Full Name | Dba: Alpha Omega Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1119 E College St, Pulaski, Tennessee |
| Authorized Official Name and Position | Jess N Judy (PRESIDENT) |
| Authorized Official Contact | 6155651508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba: Alpha Omega Family Medicine 1119 E College St Suite 3 Pulaski TN 38478-4563 Ph: (931) 424-8881 | Dba: Alpha Omega Family Medicine 1119 E College St Suite 3 Pulaski TN 38478-4563 Ph: (931) 424-8881 |
| NPI Number | 1457690422 |
|---|---|
| Provider Enumeration Date | 02/11/2013 |
| Last Update Date | 02/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457690422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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