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126 Jmz Dr Gordonsville TN 38563-2152 | |
| (615) 683-1070 | |
| (615) 683-1079 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 126 Jmz Dr, Gordonsville, Tennessee |
| Authorized Official Name and Position | Angela S Moss (OWNER) |
| Authorized Official Contact | 6156831070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
126 Jmz Dr Gordonsville TN 38563-2152 Ph: (615) 683-1070 | 126 Jmz Dr Gordonsville TN 38563-2152 Ph: (615) 683-1070 |
| NPI Number | 1033310206 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 02/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033310206 | NPI | - | NPPES |
| 3874872 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35031 (Tennessee) | Primary |
Cumberland Pediatric Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 New Middleton Hwy, Gordonsville, TN 38563 Phone: 615-683-4200 Fax: 615-683-4207 | |
Primary Care Associates Of Smith County, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 New Middleton Hwy, Suite A, Gordonsville, TN 38563 Phone: 615-683-3400 Fax: 615-683-3402 | |
Smith County Family Care, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 New Middleton Hwy, Suite A, Gordonsville, TN 38563 Phone: 615-683-3400 Fax: 615-683-3402 | |