| Lynchburg Medical Clinic, Llc | |
|
40 Lynchburg Hwy Lynchburg TN 37352-7449 | |
| (931) 759-4197 | |
| (931) 759-6673 |
| Full Name | Lynchburg Medical Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 40 Lynchburg Hwy, Lynchburg, Tennessee |
| Authorized Official Name and Position | Brett L Ferrell (MEMBER) |
| Authorized Official Contact | 9314540489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynchburg Medical Clinic, Llc 100 William Northern Blvd Tullahoma TN 37388-4754 Ph: (931) 454-0489 | Lynchburg Medical Clinic, Llc 40 Lynchburg Hwy Lynchburg TN 37352-7449 Ph: (931) 759-4197 |
| NPI Number | 1982949434 |
|---|---|
| Provider Enumeration Date | 12/10/2012 |
| Last Update Date | 03/27/2013 |
| Medicare PECOS PAC ID | 8921252248 |
|---|---|
| Medicare Enrollment ID | O20130213000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982949434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 47136 (Tennessee) | Primary |
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