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 |
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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 |
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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 |
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Provider Enumeration Date | 04/05/2024 |
Last Update Date | 04/11/2024 |
Medicare PECOS PAC ID | 7911347885 |
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Medicare Enrollment ID | O20240426000119 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982456422 | NPI | - | NPPES |
Provider Name | Ben Cottrell |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1801842570 PECOS PAC ID: 2961478870 Enrollment ID: I20040902000478 |
Provider Name | Paul A Miranda |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1285659144 PECOS PAC ID: 3678510492 Enrollment ID: I20070223000666 |
Provider Name | Paul A Miranda |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285659144 PECOS PAC ID: 3678510492 Enrollment ID: I20131009000084 |
Provider Name | Shannon E Everette |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124484415 PECOS PAC ID: 5395042105 Enrollment ID: I20160322001819 |
Provider Name | Kimberly Kirk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952077075 PECOS PAC ID: 9739570573 Enrollment ID: I20220105000464 |
Provider Name | Kara Marino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295141471 PECOS PAC ID: 1951521913 Enrollment ID: I20230726003544 |
Provider Name | Tammy Michelle Rogers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912619396 PECOS PAC ID: 0345782777 Enrollment ID: I20240612003662 |
Provider Name | Tammy Michelle Rogers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912619396 PECOS PAC ID: 0345782777 Enrollment ID: I20240715000801 |
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