West Tennessee Medical Group Pediatrics Paris Henry C | |
243 Jim Adams Drive Paris TN 38242-4967 | |
(731) 644-8479 | |
(731) 644-3719 |
Full Name | West Tennessee Medical Group Pediatrics Paris Henry C |
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Speciality | Clinic/Center |
Location | 243 Jim Adams Drive, Paris, Tennessee |
Authorized Official Name and Position | Bartley Teague (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7315121277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West Tennessee Medical Group Pediatrics Paris Henry C 257 Bancorp South Parkway Jackson TN 38305-7582 Ph: (731) 660-8759 | West Tennessee Medical Group Pediatrics Paris Henry C 243 Jim Adams Drive Paris TN 38242-4967 Ph: (731) 644-8479 |
NPI Number | 1316496029 |
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Provider Enumeration Date | 09/23/2016 |
Last Update Date | 10/09/2024 |
Medicare PECOS PAC ID | 6002898665 |
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Medicare Enrollment ID | O20170119001594 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316496029 | NPI | - | NPPES |
0448976 | Medicaid | TN |
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