Family Medical Center Of Carthage, Llc | |
1632 Missouri Ave Carthage MO 64836-3059 | |
(417) 773-6154 | |
Not Available |
Full Name | Family Medical Center Of Carthage, Llc |
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Speciality | Internal Medicine |
Location | 1632 Missouri Ave, Carthage, Missouri |
Authorized Official Name and Position | Michael Tucker (OWNER) |
Authorized Official Contact | 4177736154 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Medical Center Of Carthage, Llc Po Box 10887 Springfield MO 65808-0887 Ph: () - | Family Medical Center Of Carthage, Llc 1632 Missouri Ave Carthage MO 64836-3059 Ph: (417) 773-6154 |
NPI Number | 1114249836 |
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Provider Enumeration Date | 02/22/2010 |
Last Update Date | 02/22/2010 |
Identifier | Type | State | Issuer |
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1114249836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Medstaff Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1129 W Fairview Ave, Carthage, MO 64836 Phone: 417-358-8131 Fax: 404-698-2614 |