| Family Medicine Group, Pllc | |
|
2996 Kate Bond Rd Suite 405 Bartlett TN 38133-4030 | |
| (901) 386-4423 | |
| (901) 333-8056 |
| Full Name | Family Medicine Group, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2996 Kate Bond Rd, Bartlett, Tennessee |
| Authorized Official Name and Position | Robert G Miller (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9013864423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Group, Pllc Po Box 1000, Dept 19 Memphis TN 38148-0001 Ph: (901) 386-4423 | Family Medicine Group, Pllc 2996 Kate Bond Rd Suite 405 Bartlett TN 38133-4030 Ph: (901) 386-4423 |
| NPI Number | 1033165063 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 01/04/2011 |
| Medicare PECOS PAC ID | 0042241077 |
|---|---|
| Medicare Enrollment ID | O20050829001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033165063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
| Provider Name | Robert G Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639142524 PECOS PAC ID: 3971561523 Enrollment ID: I20041229000239 |
| Provider Name | Richard W Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366539728 PECOS PAC ID: 8628025178 Enrollment ID: I20050406000688 |
| Provider Name | Terri Hyatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891768040 PECOS PAC ID: 7618908005 Enrollment ID: I20050825000479 |
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