Page Family Practice, Inc. | |
4802 14th Ave Chattanooga TN 37407-3414 | |
(423) 867-7848 | |
(423) 867-7204 |
Full Name | Page Family Practice, Inc. |
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Speciality | Clinic/center - Primary Care |
Location | 4802 14th Ave, Chattanooga, Tennessee |
Authorized Official Name and Position | Cari Beth Page (PRESIDENT) |
Authorized Official Contact | 4238677848 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Page Family Practice, Inc. 4802 14th Ave Chattanooga TN 37407-3414 Ph: (423) 867-7848 | Page Family Practice, Inc. 4802 14th Ave Chattanooga TN 37407-3414 Ph: (423) 867-7848 |
NPI Number | 1639360332 |
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Provider Enumeration Date | 08/07/2007 |
Last Update Date | 08/07/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639360332 | NPI | - | NPPES |
3731521 | Medicaid | TN | |
4110803 | Other | TN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 33861 (Tennessee) | Primary |
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