| Healing Hands Mobile Physician Group Llc | |
|
200 W Martin Luther King Blvd Ste 1000 Chattanooga TN 37402-2571 | |
| (423) 269-2255 | |
| Not Available |
| Full Name | Healing Hands Mobile Physician Group Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 200 W Martin Luther King Blvd Ste 1000, Chattanooga, Tennessee |
| Authorized Official Name and Position | Gary Poole (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 4232692255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hands Mobile Physician Group Llc 200 W Martin Luther King Blvd Chattanooga TN 37402-2560 Ph: (423) 269-2255 | Healing Hands Mobile Physician Group Llc 200 W Martin Luther King Blvd Ste 1000 Chattanooga TN 37402-2571 Ph: (423) 269-2255 |
| NPI Number | 1982456422 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 7911347885 |
|---|---|
| Medicare Enrollment ID | O20240426000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982456422 | NPI | - | NPPES |
| Provider Name | Ben Cottrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801842570 PECOS PAC ID: 2961478870 Enrollment ID: I20040902000478 |
| Provider Name | Kimberly Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952077075 PECOS PAC ID: 9739570573 Enrollment ID: I20220105000464 |
| Provider Name | Tammy Michelle Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912619396 PECOS PAC ID: 0345782777 Enrollment ID: I20240612003662 |
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