| Greenfield Family Medical Clinic, Pc | |
|
230 N Front St Greenfield TN 38230-1518 | |
| (731) 235-2271 | |
| (731) 235-2323 |
| Full Name | Greenfield Family Medical Clinic, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 230 N Front St, Greenfield, Tennessee |
| Authorized Official Name and Position | Karen Davidson (PRESIDENT) |
| Authorized Official Contact | 7312352271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenfield Family Medical Clinic, Pc 230 N Front St Greenfield TN 38230-1518 Ph: () - | Greenfield Family Medical Clinic, Pc 230 N Front St Greenfield TN 38230-1518 Ph: (731) 235-2271 |
| NPI Number | 1558634121 |
|---|---|
| Provider Enumeration Date | 02/13/2012 |
| Last Update Date | 03/21/2012 |
| Medicare PECOS PAC ID | 0749448389 |
|---|---|
| Medicare Enrollment ID | O20120228000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558634121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD0000019958 (Tennessee) | Primary |
| Provider Name | Lesa K Edwards-davidson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245389584 PECOS PAC ID: 9638147929 Enrollment ID: I20040923001078 |
Greenfield Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 S Meridian St, Greenfield, TN 38230 Phone: 731-235-0555 Fax: 731-235-0559 |