| |
711 Cook Dr Suite 110 Athens TN 37303-3486 | |
(423) 746-0122 | |
(423) 745-9456 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 711 Cook Dr, Athens, Tennessee |
Authorized Official Name and Position | Jess N Judy (PRESIDENT) |
Authorized Official Contact | 6153728500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
711 Cook Dr Suite 110 Athens TN 37303-3486 Ph: (423) 746-0122 | 711 Cook Dr Suite 110 Athens TN 37303-3486 Ph: (423) 746-0122 |
NPI Number | 1306850144 |
---|---|
Provider Enumeration Date | 07/28/2006 |
Last Update Date | 07/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306850144 | NPI | - | NPPES |
CJ3773 | Other | MEDICARE RAILROAD | |
3374004 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Donald H. Watters Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Cook Dr, Suite 200, Athens, TN 37303 Phone: 423-507-8369 Fax: 423-507-8387 | |