Healthstar Physicians, Pc | |
1403 State St White Pine TN 37890-3175 | |
(865) 674-6603 | |
(865) 674-6695 |
Full Name | Healthstar Physicians, Pc |
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Speciality | Family Medicine |
Location | 1403 State St, White Pine, Tennessee |
Authorized Official Name and Position | Donald L Lee (CEO) |
Authorized Official Contact | 4235815925 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healthstar Physicians, Pc 1403 State St White Pine TN 37890-3175 Ph: (865) 674-6603 | Healthstar Physicians, Pc 1403 State St White Pine TN 37890-3175 Ph: (865) 674-6603 |
NPI Number | 1376934422 |
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Provider Enumeration Date | 02/11/2015 |
Last Update Date | 02/11/2015 |
Medicare PECOS PAC ID | 5890690978 |
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Medicare Enrollment ID | O20150408000528 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376934422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD11046 (Tennessee) | Primary |
Schindler Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1721 Main St, White Pine, TN 37890 Phone: 865-674-6400 Fax: 865-674-6401 |