| Petty Adult And Geriatric Care Clinic Llc | |
|
1123 N Castle Heights Ave Suite H Lebanon TN 37087-5724 | |
| (615) 443-2273 | |
| (615) 449-3111 |
| Full Name | Petty Adult And Geriatric Care Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1123 N Castle Heights Ave, Lebanon, Tennessee |
| Authorized Official Name and Position | Jennifer Ann Petty (ORGANIZER) |
| Authorized Official Contact | 6154432273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petty Adult And Geriatric Care Clinic Llc 1123 N Castle Heights Ave Suite H Lebanon TN 37087-5724 Ph: (615) 443-2273 | Petty Adult And Geriatric Care Clinic Llc 1123 N Castle Heights Ave Suite H Lebanon TN 37087-5724 Ph: (615) 443-2273 |
| NPI Number | 1457530560 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457530560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 11466 (Tennessee) | Primary |
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Middle Tennessee And Adolescent Medicine P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Physicians Way, Suite 200, Lebanon, TN 37090 Phone: 615-449-5611 Fax: 615-443-0571 | |
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Concord Infectious Disease Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1419 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-420-5390 Fax: 615-549-1532 | |
Lebanon Hma Physician Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-443-2500 | |
Robert J Jantz Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 706 Cadet Ct, Lebanon, TN 37087 Phone: 615-449-2472 Fax: 615-449-4709 | |
Cumberland Pediatric Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1029 W Main St, Suite M, Lebanon, TN 37087 Phone: 615-453-1252 Fax: 615-453-1286 |