| Jefferson Family Physicians P C | |
|
1810 Bishop Ave Suite A Jefferson City TN 37760-1997 | |
| (865) 475-6161 | |
| (865) 475-9857 |
| Full Name | Jefferson Family Physicians P C |
|---|---|
| Speciality | Family Medicine |
| Location | 1810 Bishop Ave, Jefferson City, Tennessee |
| Authorized Official Name and Position | Dewayne P Darby (AN OWNER) |
| Authorized Official Contact | 8654756161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Family Physicians P C 1810 Bishop Ave Suite A Jefferson City TN 37760-1997 Ph: (865) 475-6161 | Jefferson Family Physicians P C 1810 Bishop Ave Suite A Jefferson City TN 37760-1997 Ph: (865) 475-6161 |
| NPI Number | 1972524239 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972524239 | NPI | - | NPPES |
| 3712179 | Medicaid | TN | |
| 3712170 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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