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236 North Main St Lobelville TN 37097 | |
(931) 593-2277 | |
(931) 593-2517 |
Full Name | |
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Speciality | Family Medicine |
Location | 236 North Main St, Lobelville, Tennessee |
Authorized Official Name and Position | Becky S Cunningham (OFFICE MGR.) |
Authorized Official Contact | 9315932277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 219 236 North Main St. Lobelville TN 37097-0219 Ph: (931) 593-2277 | 236 North Main St Lobelville TN 37097 Ph: (931) 593-2277 |
NPI Number | 1194923029 |
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Provider Enumeration Date | 07/03/2007 |
Last Update Date | 12/11/2013 |
Medicare PECOS PAC ID | 5597751263 |
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Medicare Enrollment ID | O20040420001826 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194923029 | NPI | - | NPPES |
3303612 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kenneth Salhany |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1255302907 PECOS PAC ID: 4587650254 Enrollment ID: I20051018001179 |