| Family Medical Associates, Llc | |
|
108 Gay St Erwin TN 37650-1228 | |
| (423) 388-4525 | |
| (423) 388-4524 |
| Full Name | Family Medical Associates, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 Gay St, Erwin, Tennessee |
| Authorized Official Name and Position | Mary Beth Byrd (SOLE MEMBER) |
| Authorized Official Contact | 4233353077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Associates, Llc 108 Gay St Erwin TN 37650-1228 Ph: (423) 388-4525 | Family Medical Associates, Llc 108 Gay St Erwin TN 37650-1228 Ph: (423) 388-4525 |
| NPI Number | 1336503960 |
|---|---|
| Provider Enumeration Date | 04/09/2016 |
| Last Update Date | 04/09/2016 |
| Medicare PECOS PAC ID | 6608175922 |
|---|---|
| Medicare Enrollment ID | O20160509000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336503960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20178 (Tennessee) | Primary |
| Provider Name | Mary Beth Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013387349 PECOS PAC ID: 7315248473 Enrollment ID: I20151214001806 |
| Provider Name | Ashlee Elizabeth Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538781216 PECOS PAC ID: 6002230562 Enrollment ID: I20200717000164 |
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