Doctor Mike Llc | |
305 College St W Fayetteville TN 37334-2911 | |
(931) 227-4984 | |
(931) 227-4985 |
Full Name | Doctor Mike Llc |
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Speciality | Family Medicine |
Location | 305 College St W, Fayetteville, Tennessee |
Authorized Official Name and Position | Michael Peter Loiacono (MD/OWNER) |
Authorized Official Contact | 9312276091 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Doctor Mike Llc 305 College St W Fayetteville TN 37334-2911 Ph: (931) 227-4984 | Doctor Mike Llc 305 College St W Fayetteville TN 37334-2911 Ph: (931) 227-4984 |
NPI Number | 1245055227 |
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Provider Enumeration Date | 11/15/2024 |
Last Update Date | 11/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245055227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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