| Faith & Family Care Clinic Pllc | |
|
531 Highway 64 W Waynesboro TN 38485-2355 | |
| (931) 253-8146 | |
| Not Available |
| Full Name | Faith & Family Care Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 531 Highway 64 W, Waynesboro, Tennessee |
| Authorized Official Name and Position | Donna Prater (OFFICE MANAGER) |
| Authorized Official Contact | 7314003783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith & Family Care Clinic Pllc 531 Highway 64 W Waynesboro TN 38485-2355 Ph: (931) 253-8146 | Faith & Family Care Clinic Pllc 531 Highway 64 W Waynesboro TN 38485-2355 Ph: (931) 253-8146 |
| NPI Number | 1639839392 |
|---|---|
| Provider Enumeration Date | 12/22/2021 |
| Last Update Date | 03/03/2022 |
| Medicare PECOS PAC ID | 2567859978 |
|---|---|
| Medicare Enrollment ID | O20220503000860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639839392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Patricia Diane Castleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164405221 PECOS PAC ID: 7012953870 Enrollment ID: I20050701000094 |
| Provider Name | Donna J Prater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982031415 PECOS PAC ID: 1052547890 Enrollment ID: I20131126001094 |
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