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119 Epperson St Athens TN 37303-3478 | |
(423) 745-7500 | |
(423) 745-7501 |
Full Name | |
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Speciality | Clinic/Center |
Location | 119 Epperson St, Athens, Tennessee |
Authorized Official Name and Position | Saji Gopinathan (OWNER/PHYSICIAN) |
Authorized Official Contact | 4237457500 |
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 925 Athens TN 37371-0925 Ph: (423) 745-7500 | 119 Epperson St Athens TN 37303-3478 Ph: (423) 745-7500 |
NPI Number | 1679805493 |
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Provider Enumeration Date | 02/03/2010 |
Last Update Date | 01/11/2011 |
Medicare PECOS PAC ID | 4789728403 |
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Medicare Enrollment ID | O20100218000805 |
Identifier | Type | State | Issuer |
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1679805493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | MD0000034697 (Tennessee) | Primary |
Donald H. Watters Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Cook Dr, Suite 200, Athens, TN 37303 Phone: 423-507-8369 Fax: 423-507-8387 | |