Healthyconnect Of Nashville | |
1210 Briarville Rd Bldg C Madison TN 37115-5136 | |
(813) 760-3373 | |
Not Available |
Full Name | Healthyconnect Of Nashville |
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Speciality | Internal Medicine |
Location | 1210 Briarville Rd Bldg C, Madison, Tennessee |
Authorized Official Name and Position | Thomas B Miller (OWNER/MD) |
Authorized Official Contact | 8137603373 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healthyconnect Of Nashville 1880 Lakeland Dr Ste E Jackson MS 39216-4916 Ph: (615) 866-6095 | Healthyconnect Of Nashville 1210 Briarville Rd Bldg C Madison TN 37115-5136 Ph: (813) 760-3373 |
NPI Number | 1285319582 |
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Provider Enumeration Date | 06/15/2023 |
Last Update Date | 03/05/2024 |
Medicare PECOS PAC ID | 6103363395 |
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Medicare Enrollment ID | O20240806001689 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285319582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Thomas B Miller |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255301800 PECOS PAC ID: 9133182389 Enrollment ID: I20041109000087 |
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