Hardie V. Sorrels Iii Md P | |
715 Castle Heights Ct # B Lebanon TN 37087-2666 | |
(615) 444-2320 | |
(615) 449-3163 |
Full Name | Hardie V. Sorrels Iii Md P |
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Speciality | Internal Medicine |
Location | 715 Castle Heights Ct # B, Lebanon, Tennessee |
Authorized Official Name and Position | Debbie Dismukes (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 6154442320 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hardie V. Sorrels Iii Md P 715 Castle Heights Ct # B Lebanon TN 37087-2666 Ph: (615) 444-2320 | Hardie V. Sorrels Iii Md P 715 Castle Heights Ct # B Lebanon TN 37087-2666 Ph: (615) 444-2320 |
NPI Number | 1154512069 |
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Provider Enumeration Date | 08/06/2007 |
Last Update Date | 08/06/2007 |
Medicare PECOS PAC ID | 7911929609 |
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Medicare Enrollment ID | O20051221000970 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154512069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 18079 (Tennessee) | Primary |
Provider Name | Hardie V Sorrels |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942314075 PECOS PAC ID: 2466474150 Enrollment ID: I20101116000324 |
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