Haynes Medical Clinic | |
1116 N Market St Paris TN 38242-3206 | |
(731) 642-7060 | |
(731) 641-7565 |
Full Name | Haynes Medical Clinic |
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Speciality | Clinic/Center |
Location | 1116 N Market St, Paris, Tennessee |
Authorized Official Name and Position | Terrie B Watson (FNP) |
Authorized Official Contact | 7314079700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Haynes Medical Clinic 1009 East Wood St Paris TN 38242 Ph: (731) 407-9700 | Haynes Medical Clinic 1116 N Market St Paris TN 38242-3206 Ph: (731) 642-7060 |
NPI Number | 1629200464 |
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Provider Enumeration Date | 08/12/2009 |
Last Update Date | 11/21/2016 |
Medicare PECOS PAC ID | 2466599261 |
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Medicare Enrollment ID | O20091028000104 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629200464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | APN12936 (Tennessee) | Primary |
Provider Name | Madison W Dowdy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679027049 PECOS PAC ID: 8325333701 Enrollment ID: I20161006001807 |
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