| Jonesborough Community Care | |
|
415 Boones Creek Rd Ste 1 Jonesborough TN 37659-5111 | |
| (423) 788-3455 | |
| (423) 788-0295 |
| Full Name | Jonesborough Community Care |
|---|---|
| Speciality | Family Medicine |
| Location | 415 Boones Creek Rd Ste 1, Jonesborough, Tennessee |
| Authorized Official Name and Position | Richard K Mcdavid (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4237883455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonesborough Community Care 415 Boones Creek Rd Ste 1 Jonesborough TN 37659-5165 Ph: (423) 788-3080 | Jonesborough Community Care 415 Boones Creek Rd Ste 1 Jonesborough TN 37659-5111 Ph: (423) 788-3455 |
| NPI Number | 1396073870 |
|---|---|
| Provider Enumeration Date | 11/23/2009 |
| Last Update Date | 10/16/2024 |
| Medicare PECOS PAC ID | 3375687619 |
|---|---|
| Medicare Enrollment ID | O20100421000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396073870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38182 (Tennessee) | Primary |
| Provider Name | Richard K Mcdavid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508861774 PECOS PAC ID: 5597653303 Enrollment ID: I20040304000874 |
Family Medicine Of Jonesborough Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 806 E Jackson Blvd, Suite 8, Jonesborough, TN 37659 Phone: 423-788-0123 Fax: 423-788-0124 | |
Washington Co - Jonesborough Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 N Cherokee St Ste 3, Jonesborough, TN 37659 Phone: 423-753-0744 Fax: 423-753-4997 |