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131 Maple Row Blvd Ste D400 Hendersonville TN 37075-3777 | |
(615) 991-3158 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 131 Maple Row Blvd Ste D400, Hendersonville, Tennessee |
Authorized Official Name and Position | Scott Jarrell (OWNER, PHYSICIAN ASSISTANT) |
Authorized Official Contact | 6154905357 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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131 Maple Row Blvd Ste D400 Hendersonville TN 37075-3777 Ph: (615) 991-3158 | 131 Maple Row Blvd Ste D400 Hendersonville TN 37075-3777 Ph: (615) 991-3158 |
NPI Number | 1306327887 |
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Provider Enumeration Date | 08/23/2018 |
Last Update Date | 08/23/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306327887 | NPI | - | NPPES |
1533293 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | PA1487 (Tennessee) | Primary |
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