Northstar Healthcare Alpha Llc | |
1540 Appling Care Ln Ste 100 Cordova TN 38016-4947 | |
(901) 202-0735 | |
(901) 800-2487 |
Full Name | Northstar Healthcare Alpha Llc |
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Speciality | Family Medicine |
Location | 1540 Appling Care Ln Ste 100, Cordova, Tennessee |
Authorized Official Name and Position | Kelsey Blevins (NATIONAL DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 9013783561 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northstar Healthcare Alpha Llc 1540 Appling Care Ln Ste 100 Cordova TN 38016-4947 Ph: (901) 378-3561 | Northstar Healthcare Alpha Llc 1540 Appling Care Ln Ste 100 Cordova TN 38016-4947 Ph: (901) 202-0735 |
NPI Number | 1346832623 |
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Provider Enumeration Date | 02/08/2021 |
Last Update Date | 02/08/2021 |
Medicare PECOS PAC ID | 6103233515 |
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Medicare Enrollment ID | O20210401000337 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346832623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Barry Workman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972543148 PECOS PAC ID: 9739420852 Enrollment ID: I20190417002060 |
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