| Middle Tennessee Endocrinology Clinic Pc | |
|
854 W James Campbell Blvd Suite 304 Columbia TN 38401 | |
| (931) 548-0053 | |
| (931) 548-0068 |
| Full Name | Middle Tennessee Endocrinology Clinic Pc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 854 W James Campbell Blvd, Columbia, Tennessee |
| Authorized Official Name and Position | Anthony K Cryar (OWNER) |
| Authorized Official Contact | 9313811111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Tennessee Endocrinology Clinic Pc 854 W James Campbell Blvd Suite 303 B Columbia TN 38401-4659 Ph: (931) 540-4255 | Middle Tennessee Endocrinology Clinic Pc 854 W James Campbell Blvd Suite 304 Columbia TN 38401 Ph: (931) 548-0053 |
| NPI Number | 1225133036 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 04/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225133036 | NPI | - | NPPES |
| 3735169 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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