| Knox Internal Medicine Inc | |
|
14730 Fredericktown Amity Rd Fredericktown OH 43019-9776 | |
| (740) 694-1343 | |
| Not Available |
| Full Name | Knox Internal Medicine Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14730 Fredericktown Amity Rd, Fredericktown, Ohio |
| Authorized Official Name and Position | Jeffrey Clark Spencer (PRESIDENT) |
| Authorized Official Contact | 7406941343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knox Internal Medicine Inc 14730 Fredericktown Amity Rd Fredericktown OH 43019-9776 Ph: (740) 694-1343 | Knox Internal Medicine Inc 14730 Fredericktown Amity Rd Fredericktown OH 43019-9776 Ph: (740) 694-1343 |
| NPI Number | 1982813184 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 10/19/2007 |
| Medicare PECOS PAC ID | 7719910645 |
|---|---|
| Medicare Enrollment ID | O20080911000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982813184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35040551 (Ohio) | Primary |
| Provider Name | Jeffrey C Spencer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659332542 PECOS PAC ID: 8628001559 Enrollment ID: I20080911000718 |
Fredericktown Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16361 Village Pkwy, Fredericktown, OH 43019 Phone: 740-694-2110 Fax: 740-694-2127 |