| |
135 North Meadow Drive Ste #a Athens TN 37303 | |
(423) 745-9715 | |
(423) 745-2440 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 135 North Meadow Drive, Athens, Tennessee |
Authorized Official Name and Position | Barbara A Chambers (OFFICE MANAGER) |
Authorized Official Contact | 4237459715 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
135 North Meadow Drive Ste #a Athens TN 37303 Ph: (423) 745-9715 | 135 North Meadow Drive Ste #a Athens TN 37303 Ph: (423) 745-9715 |
NPI Number | 1033317144 |
---|---|
Provider Enumeration Date | 07/10/2007 |
Last Update Date | 07/25/2023 |
Medicare PECOS PAC ID | 9133186885 |
---|---|
Medicare Enrollment ID | O20041214000574 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033317144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 19400 (Tennessee) | Secondary |
207Q00000X | Family Medicine | MD19400 (Tennessee) | Primary |
Provider Name | Alicia D Durham |
---|---|
Provider Type | Practitioner - Physician Assistant |
Provider Identifiers | NPI Number: 1629301312 PECOS PAC ID: 3678616513 Enrollment ID: I20100201000570 |
Donald H. Watters Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Cook Dr, Suite 200, Athens, TN 37303 Phone: 423-507-8369 Fax: 423-507-8387 | |