Foust Medical Clinic, Llc | |
849 Volunteer Dr Ste 2 Paris TN 38242-5483 | |
(731) 540-7075 | |
Not Available |
Full Name | Foust Medical Clinic, Llc |
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Speciality | Clinic/Center |
Location | 849 Volunteer Dr Ste 2, Paris, Tennessee |
Authorized Official Name and Position | Daphne T Foust (PHYSICIAN ASSISTANT/OWNER) |
Authorized Official Contact | 7315407075 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Foust Medical Clinic, Llc 260 Sandy Cir Springville TN 38256-5142 Ph: (731) 695-2689 | Foust Medical Clinic, Llc 849 Volunteer Dr Ste 2 Paris TN 38242-5483 Ph: (731) 540-7075 |
NPI Number | 1154895670 |
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Provider Enumeration Date | 01/17/2019 |
Last Update Date | 01/17/2019 |
Medicare PECOS PAC ID | 8527301712 |
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Medicare Enrollment ID | O20190509001145 |
Identifier | Type | State | Issuer |
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1154895670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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