Family Medical Clinic Of Harrogate, P.c. | |
170 Beech St Ste 1 Harrogate TN 37752-8206 | |
(423) 869-3684 | |
(423) 869-5460 |
Full Name | Family Medical Clinic Of Harrogate, P.c. |
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Speciality | Family Medicine |
Location | 170 Beech St Ste 1, Harrogate, Tennessee |
Authorized Official Name and Position | John Michael Robertson (OWNER) |
Authorized Official Contact | 4238693684 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Medical Clinic Of Harrogate, P.c. Po Box 750 Harrogate TN 37752-0750 Ph: (423) 869-3684 | Family Medical Clinic Of Harrogate, P.c. 170 Beech St Ste 1 Harrogate TN 37752-8206 Ph: (423) 869-3684 |
NPI Number | 1417107210 |
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Provider Enumeration Date | 09/29/2008 |
Last Update Date | 02/20/2024 |
Medicare PECOS PAC ID | 5395807010 |
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Medicare Enrollment ID | O20081215000278 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417107210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Elizabeth Larew |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427191725 PECOS PAC ID: 0749342319 Enrollment ID: I20081217000067 |
Provider Name | John Robertson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881858215 PECOS PAC ID: 4789878505 Enrollment ID: I20110713000376 |
Provider Name | Ashley Fultz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457694960 PECOS PAC ID: 0547400079 Enrollment ID: I20170427000715 |
Provider Name | Lindsey A Hall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700385473 PECOS PAC ID: 8729335443 Enrollment ID: I20180725003137 |
Provider Name | Casey Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346917978 PECOS PAC ID: 8123426517 Enrollment ID: I20211015001464 |
Hearland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Beech Street, Suite 1, Harrogate, TN 37752 Phone: 423-626-7297 Fax: 423-851-4704 | |
Harrogate Family & Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 Westmoreland St Lowr Level, Harrogate, TN 37752 Phone: 423-869-0004 Fax: 423-869-5555 | |
Livesay Family Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Nettleton Rd Ste 1, Harrogate, TN 37752 Phone: 423-419-5550 Fax: 423-419-5551 |