| Mobile Medical Mission Pllc | |
|
150 E Division Rd Ste 1 Oak Ridge TN 37830-6997 | |
| (865) 205-2942 | |
| (865) 297-4917 |
| Full Name | Mobile Medical Mission Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 150 E Division Rd Ste 1, Oak Ridge, Tennessee |
| Authorized Official Name and Position | Shere Howald Conway (OWNER) |
| Authorized Official Contact | 8652052942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Medical Mission Pllc 150 E Division Rd Ste 1 Oak Ridge TN 37830-6997 Ph: (865) 205-2942 | Mobile Medical Mission Pllc 150 E Division Rd Ste 1 Oak Ridge TN 37830-6997 Ph: (865) 205-2942 |
| NPI Number | 1558045336 |
|---|---|
| Provider Enumeration Date | 06/13/2023 |
| Last Update Date | 06/13/2023 |
| Medicare PECOS PAC ID | 8729448097 |
|---|---|
| Medicare Enrollment ID | O20230718002690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558045336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shere Conway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619959798 PECOS PAC ID: 6406746767 Enrollment ID: I20040318001579 |
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