| L.c. Tennin, Jr M.d., P.a. | |
|
122 E Academy St Canton MS 39046-4502 | |
| (601) 859-8992 | |
| (601) 859-5573 |
| Full Name | L.c. Tennin, Jr M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 122 E Academy St, Canton, Mississippi |
| Authorized Official Name and Position | Lc Tennin (ADMINISTRATIVE PRESIDENT) |
| Authorized Official Contact | 6012145998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L.c. Tennin, Jr M.d., P.a. Po Box 647 Canton MS 39046-0647 Ph: () - | L.c. Tennin, Jr M.d., P.a. 122 E Academy St Canton MS 39046-4502 Ph: (601) 859-8992 |
| NPI Number | 1598908774 |
|---|---|
| Provider Enumeration Date | 04/17/2009 |
| Last Update Date | 04/27/2019 |
| Medicare PECOS PAC ID | 6406905819 |
|---|---|
| Medicare Enrollment ID | O20090514000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598908774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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G A Carmichael Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1421 E Peace St Ste B, Canton, MS 39046 Phone: 601-855-2516 Fax: 601-859-8771 | |
Magnolia Medical Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1171 Hart St, Canton, MS 39046 Phone: 601-859-9888 Fax: 601-859-9004 | |
Everycare Express Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Feather Ln, Suite E, Canton, MS 39046 Phone: 601-859-0140 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Southlake Cir, Canton, MS 39046 Phone: 601-859-8550 |