Mrmg Plaza | |
854 W James M Campbell Blvd Ste 403 Columbia TN 38401-4659 | |
(931) 380-0075 | |
(931) 388-7502 |
Full Name | Mrmg Plaza |
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Speciality | Clinic/Center |
Location | 854 W James M Campbell Blvd Ste 403, Columbia, Tennessee |
Authorized Official Name and Position | Charles J Brinkley (CFO) |
Authorized Official Contact | 9315404212 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mrmg Plaza Po Box 100054 Atlanta GA 30348-0054 Ph: (931) 388-9706 | Mrmg Plaza 854 W James M Campbell Blvd Ste 403 Columbia TN 38401-4659 Ph: (931) 380-0075 |
NPI Number | 1720607021 |
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Provider Enumeration Date | 04/16/2020 |
Last Update Date | 08/08/2024 |
Medicare PECOS PAC ID | 6406813781 |
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Medicare Enrollment ID | O20200729001394 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720607021 | NPI | - | NPPES |
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