Munsey Enterprises Inc | |
106 Administration Rd Oak Ridge TN 37830-6954 | |
(865) 483-8429 | |
(865) 483-7070 |
Full Name | Munsey Enterprises Inc |
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Speciality | Family Medicine |
Location | 106 Administration Rd, Oak Ridge, Tennessee |
Authorized Official Name and Position | James Warren Munsey (OWNER/AUTHORIZED OFFICIAL) |
Authorized Official Contact | 8654838429 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Munsey Enterprises Inc 106 Administration Rd Oak Ridge TN 37830-6954 Ph: (865) 483-8429 | Munsey Enterprises Inc 106 Administration Rd Oak Ridge TN 37830-6954 Ph: (865) 483-8429 |
NPI Number | 1467021840 |
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Provider Enumeration Date | 06/21/2021 |
Last Update Date | 06/21/2021 |
Medicare PECOS PAC ID | 7113075300 |
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Medicare Enrollment ID | O20210727000412 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467021840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Laura Purdy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20200221002266 |
Provider Name | Joel Jones |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20221027002153 |
Provider Name | Virginia D Dionne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891400404 PECOS PAC ID: 2365808581 Enrollment ID: I20230515000231 |
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