| Macon Community Family Healthcare Group Pllc | |
|
209 College St Lafayette TN 37083-1701 | |
| (615) 666-2056 | |
| (615) 666-3022 |
| Full Name | Macon Community Family Healthcare Group Pllc |
|---|---|
| Speciality | General Practice |
| Location | 209 College St, Lafayette, Tennessee |
| Authorized Official Name and Position | Olufemi Odunusi (CEO) |
| Authorized Official Contact | 6156662056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macon Community Family Healthcare Group Pllc 209 College St Lafayette TN 37083-1701 Ph: (615) 666-2056 | Macon Community Family Healthcare Group Pllc 209 College St Lafayette TN 37083-1701 Ph: (615) 666-2056 |
| NPI Number | 1740955673 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740955673 | NPI | - | NPPES |
| 00000 | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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