| Mcknight Clinic Pllc | |
|
25 Woodbridge Rd Ste A Somerville TN 38068-1242 | |
| (901) 465-6353 | |
| (833) 902-3599 |
| Full Name | Mcknight Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 25 Woodbridge Rd Ste A, Somerville, Tennessee |
| Authorized Official Name and Position | Elizabeth P Mcknight (PARTNER) |
| Authorized Official Contact | 9014656353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcknight Clinic Pllc 25 Woodbridge Rd Ste A Somerville TN 38068-1242 Ph: (901) 465-6353 | Mcknight Clinic Pllc 25 Woodbridge Rd Ste A Somerville TN 38068-1242 Ph: (901) 465-6353 |
| NPI Number | 1043482649 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 02/13/2024 |
| Medicare PECOS PAC ID | 9234200130 |
|---|---|
| Medicare Enrollment ID | O20080620000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043482649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth P Mcknight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164591566 PECOS PAC ID: 9638186877 Enrollment ID: I20060314000388 |
| Provider Name | Flotyl K Gresham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306133848 PECOS PAC ID: 7416111083 Enrollment ID: I20130129000486 |
| Provider Name | Raymond Hawkins |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184622037 PECOS PAC ID: 2163727660 Enrollment ID: I20160222001030 |
| Provider Name | David Miedema |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689962524 PECOS PAC ID: 4880824127 Enrollment ID: I20220512001246 |
| Provider Name | Lloyann Ferrell-bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851072284 PECOS PAC ID: 2466816145 Enrollment ID: I20230913003366 |
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