Michie Medical Clinic, Inc. | |
6659 Michie Pebble Hill Rd Michie TN 38357-5115 | |
(731) 632-1783 | |
Not Available |
Full Name | Michie Medical Clinic, Inc. |
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Speciality | Clinic/Center |
Location | 6659 Michie Pebble Hill Rd, Michie, Tennessee |
Authorized Official Name and Position | Mary S Humphries (OWNER) |
Authorized Official Contact | 7316321793 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michie Medical Clinic, Inc. 6659 Michie Pebble Hill Rd Michie TN 38357-5115 Ph: (731) 632-1783 | Michie Medical Clinic, Inc. 6659 Michie Pebble Hill Rd Michie TN 38357-5115 Ph: (731) 632-1783 |
NPI Number | 1861695900 |
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Provider Enumeration Date | 06/06/2007 |
Last Update Date | 11/06/2009 |
Medicare PECOS PAC ID | 6608806500 |
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Medicare Enrollment ID | O20050819000837 |
Identifier | Type | State | Issuer |
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1861695900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | APN0000006617 (Tennessee) | Primary |
Provider Name | Mary S Rhoads |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386699361 PECOS PAC ID: 0244260149 Enrollment ID: I20050822000137 |
Provider Name | William Ryan Bartz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063450237 PECOS PAC ID: 7517984859 Enrollment ID: I20051026001033 |
Provider Name | Kerri E. Sumler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902301237 PECOS PAC ID: 1052675808 Enrollment ID: I20210805001543 |
Magnolia Regional Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6659 Michie Pebble Hill Rd, Michie, TN 38357 Phone: 731-227-5211 Fax: 731-227-5212 |