Decaturville Clinic | |
187 W Main St Decaturville TN 38329-0127 | |
(731) 852-2761 | |
(731) 852-2781 |
Full Name | Decaturville Clinic |
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Speciality | Family Medicine |
Location | 187 W Main St, Decaturville, Tennessee |
Authorized Official Name and Position | Keesara Ramesh Reddy (OWNER) |
Authorized Official Contact | 7318522761 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Decaturville Clinic Po Box 127 Decaturville TN 38329-0127 Ph: (731) 852-2761 | Decaturville Clinic 187 W Main St Decaturville TN 38329-0127 Ph: (731) 852-2761 |
NPI Number | 1891967931 |
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Provider Enumeration Date | 03/28/2008 |
Last Update Date | 06/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891967931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Chelsey Sparks Dba Decaturville Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 187 W Main St, Decaturville, TN 38329 Phone: 731-852-2761 |