| Paris Henry County Clinic, S.c. | |
|
305 Tyson Ave Paris TN 38242-4579 | |
| (731) 642-0025 | |
| (731) 644-0899 |
| Full Name | Paris Henry County Clinic, S.c. |
|---|---|
| Speciality | General Practice |
| Location | 305 Tyson Ave, Paris, Tennessee |
| Authorized Official Name and Position | Susan Stubblefield (ASSISTANT BUSINESS MANAGER) |
| Authorized Official Contact | 7316420025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paris Henry County Clinic, S.c. 305 Tyson Ave Paris TN 38242-4579 Ph: (731) 642-0025 | Paris Henry County Clinic, S.c. 305 Tyson Ave Paris TN 38242-4579 Ph: (731) 642-0025 |
| NPI Number | 1396709283 |
|---|---|
| Provider Enumeration Date | 04/17/2006 |
| Last Update Date | 09/12/2008 |
| Medicare PECOS PAC ID | 2062571789 |
|---|---|
| Medicare Enrollment ID | O20081110000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396709283 | NPI | - | NPPES |
| 3723940 | Medicaid | TN |
| Provider Name | Annie K Massey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356597298 PECOS PAC ID: 2163583519 Enrollment ID: I20081204000378 |
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