| Extendcare Medical Group Pllc | |
|
2000 Mallory Ln Ste 130-256 Franklin TN 37067-8209 | |
| (615) 261-9106 | |
| (615) 261-9106 |
| Full Name | Extendcare Medical Group Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2000 Mallory Ln Ste 130-256, Franklin, Tennessee |
| Authorized Official Name and Position | Kevin Dennis (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6152619106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extendcare Medical Group Pllc 2000 Mallory Ln Ste 130-256 Franklin TN 37067-8209 Ph: (615) 261-9106 | Extendcare Medical Group Pllc 2000 Mallory Ln Ste 130-256 Franklin TN 37067-8209 Ph: (615) 261-9106 |
| NPI Number | 1902831217 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 11/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902831217 | NPI | - | NPPES |
| 3885918 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 37294 (Tennessee) | Primary |
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