Memorial Drive Family Practice | |
306 Landrum Pl Clarksville TN 37043-4648 | |
(931) 648-1920 | |
(931) 503-0346 |
Full Name | Memorial Drive Family Practice |
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Speciality | Family Medicine |
Location | 306 Landrum Pl, Clarksville, Tennessee |
Authorized Official Name and Position | Stephan Schott (PHYSICIAN) |
Authorized Official Contact | 9316481920 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Memorial Drive Family Practice Po Box 3857 Clarksville TN 37043-0857 Ph: (931) 648-1920 | Memorial Drive Family Practice 306 Landrum Pl Clarksville TN 37043-4648 Ph: (931) 648-1920 |
NPI Number | 1154318954 |
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Provider Enumeration Date | 10/05/2005 |
Last Update Date | 01/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154318954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D0769 (Tennessee) | Primary |
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