| My Family Physician, Pc | |
|
3496 N Main St Crossville TN 38555-5424 | |
| (931) 248-3615 | |
| Not Available |
| Full Name | My Family Physician, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3496 N Main St, Crossville, Tennessee |
| Authorized Official Name and Position | Connie Lee Catron (PRESIDIENT) |
| Authorized Official Contact | 9312483615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Family Physician, Pc Po Box 3846 Crossville TN 38557-3846 Ph: (931) 248-3615 | My Family Physician, Pc 3496 N Main St Crossville TN 38555-5424 Ph: (931) 248-3615 |
| NPI Number | 1851579064 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 12/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851579064 | NPI | - | NPPES |
| 3722868 | Medicaid | TN | |
| 3722868 | Other | TN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
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