| Forked Deer River Inpatient Services, Pllc | |
|
400 E Tickle St Dyersburg TN 38024-3120 | |
| (731) 285-2410 | |
| (800) 305-3233 |
| Full Name | Forked Deer River Inpatient Services, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 E Tickle St, Dyersburg, Tennessee |
| Authorized Official Name and Position | Kathy Kondas (OFFICER) |
| Authorized Official Contact | 9732511132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forked Deer River Inpatient Services, Pllc 815 S Palafox St 3rd Floor Pensacola FL 32502-5960 Ph: () - | Forked Deer River Inpatient Services, Pllc 400 E Tickle St Dyersburg TN 38024-3120 Ph: (731) 285-2410 |
| NPI Number | 1750717195 |
|---|---|
| Provider Enumeration Date | 09/17/2013 |
| Last Update Date | 12/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750717195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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