| Family Doctors Of Oak Ridge, Pc | |
|
400 Laboratory Rd Ste 101 Oak Ridge TN 37830-6808 | |
| (865) 482-1692 | |
| (865) 482-4070 |
| Full Name | Family Doctors Of Oak Ridge, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 400 Laboratory Rd Ste 101, Oak Ridge, Tennessee |
| Authorized Official Name and Position | Jeffrey J Grabenstein (OWNER) |
| Authorized Official Contact | 8654821692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Doctors Of Oak Ridge, Pc 400 Laboratory Rd Ste 101 Oak Ridge TN 37830-6808 Ph: (865) 482-1692 | Family Doctors Of Oak Ridge, Pc 400 Laboratory Rd Ste 101 Oak Ridge TN 37830-6808 Ph: (865) 482-1692 |
| NPI Number | 1932220720 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 10/09/2024 |
| Medicare PECOS PAC ID | 5597716332 |
|---|---|
| Medicare Enrollment ID | O20050209000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932220720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30688 (Tennessee) | Primary |
| Provider Name | Diane L Fabricius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578663084 PECOS PAC ID: 4486605235 Enrollment ID: I20101014000387 |
| Provider Name | Jeffrey J Grabenstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639277494 PECOS PAC ID: 2769678648 Enrollment ID: I20101118000760 |
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