Liberty Medical Clinic Pc | |
4937 College St Bells TN 38006-3483 | |
(731) 663-3530 | |
(731) 663-3531 |
Full Name | Liberty Medical Clinic Pc |
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Speciality | Clinic/Center |
Location | 4937 College St, Bells, Tennessee |
Authorized Official Name and Position | Chizoba N Nnaji (ASSISTANT) |
Authorized Official Contact | 7316633530 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Liberty Medical Clinic Pc 4937 College Street Bells TN 38006-3481 Ph: (731) 663-3530 | Liberty Medical Clinic Pc 4937 College St Bells TN 38006-3483 Ph: (731) 663-3530 |
NPI Number | 1790812956 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 05/08/2017 |
Medicare PECOS PAC ID | 8820173693 |
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Medicare Enrollment ID | O20080304000903 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790812956 | NPI | - | NPPES |
3847625 | Medicaid | TN | |
0443974 | Medicaid | TN |
Provider Name | Felix Chukwudi Nnaji |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801890223 PECOS PAC ID: 5890781488 Enrollment ID: I20040421000128 |
Provider Name | Chizoba N Nnaji |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467636373 PECOS PAC ID: 9638254402 Enrollment ID: I20080304000912 |
Downtown Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Hopkins Avenue, Bells, TN 38006 Phone: 731-663-0951 Fax: 731-663-0941 |