Evans Medical Clinic Pllc | |
3493 Veterans Dr N Suite C Huntingdon TN 38344-6227 | |
(731) 986-2933 | |
(731) 986-2938 |
Full Name | Evans Medical Clinic Pllc |
---|---|
Speciality | Clinic/center |
Location | 3493 Veterans Dr N, Huntingdon, Tennessee |
Authorized Official Name and Position | Thomas Paul Evans (OWNER) |
Authorized Official Contact | 7319862933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evans Medical Clinic Pllc Po Box 465 Huntingdon TN 38344-0465 Ph: (731) 986-2933 | Evans Medical Clinic Pllc 3493 Veterans Dr N Suite C Huntingdon TN 38344-6227 Ph: (731) 986-2933 |
NPI Number | 1427063155 |
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Provider Enumeration Date | 07/30/2006 |
Last Update Date | 11/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427063155 | NPI | - | NPPES |
1523966 | Medicaid | TN | |
3721805 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | MD31824 (Tennessee) | Primary |
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