| Gafford Family Medicine | |
|
2320 Thornton Taylor Pkwy Fayetteville TN 37334-3630 | |
| (931) 433-7778 | |
| (931) 433-0671 |
| Full Name | Gafford Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2320 Thornton Taylor Pkwy, Fayetteville, Tennessee |
| Authorized Official Name and Position | Christopher E Gafford (OWNER/AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 9314337778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gafford Family Medicine 2320 Thornton Taylor Pkwy Fayetteville TN 37334-3630 Ph: (931) 433-7778 | Gafford Family Medicine 2320 Thornton Taylor Pkwy Fayetteville TN 37334-3630 Ph: (931) 433-7778 |
| NPI Number | 1841662327 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 10/23/2015 |
| Medicare PECOS PAC ID | 8921308255 |
|---|---|
| Medicare Enrollment ID | O20151118001448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841662327 | NPI | - | NPPES |
| 1514428 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 26019 (Tennessee) | Primary |
| Provider Name | Christopher E Gafford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982618096 PECOS PAC ID: 7012060213 Enrollment ID: I20090805000806 |
| Provider Name | Sallyann G Storer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457329302 PECOS PAC ID: 7012032048 Enrollment ID: I20100915000177 |
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