Jennifer Broyles Md Llc | |
1511 Main St Kimball TN 37347-5551 | |
(423) 837-6000 | |
(423) 837-6009 |
Full Name | Jennifer Broyles Md Llc |
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Speciality | Family Medicine |
Location | 1511 Main St, Kimball, Tennessee |
Authorized Official Name and Position | Jennifer Broyles (PRESIDENT) |
Authorized Official Contact | 4238376000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jennifer Broyles Md Llc Po Box 8487 Chattanooga TN 37414-0487 Ph: (423) 899-2204 | Jennifer Broyles Md Llc 1511 Main St Kimball TN 37347-5551 Ph: (423) 837-6000 |
NPI Number | 1134243017 |
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Provider Enumeration Date | 03/18/2007 |
Last Update Date | 10/24/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134243017 | NPI | - | NPPES |
3370123 | Other | TN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Tennessee) | Primary |
Physician Management Services Of Tennessee Ii, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Mountain View Dr Ste A, Kimball, TN 37347 Phone: 888-829-8550 |