Pinnacle Internal Medicine Pllc | |
1509 Old Cowan Rd Winchester TN 37398-1913 | |
(931) 962-1004 | |
(931) 962-1400 |
Full Name | Pinnacle Internal Medicine Pllc |
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Speciality | Internal Medicine |
Location | 1509 Old Cowan Rd, Winchester, Tennessee |
Authorized Official Name and Position | Ephraim B Gammada (OWNER) |
Authorized Official Contact | 9319621004 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pinnacle Internal Medicine Pllc 1509 Old Cowan Rd Winchester TN 37398-1913 Ph: (931) 962-1004 | Pinnacle Internal Medicine Pllc 1509 Old Cowan Rd Winchester TN 37398-1913 Ph: (931) 962-1004 |
NPI Number | 1942480801 |
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Provider Enumeration Date | 11/08/2007 |
Last Update Date | 11/09/2007 |
Medicare PECOS PAC ID | 9739279753 |
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Medicare Enrollment ID | O20080107000083 |
Identifier | Type | State | Issuer |
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1942480801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | MD26560 (Tennessee) | Primary |
Provider Name | Ephraim B Gammada |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174501027 PECOS PAC ID: 0345257671 Enrollment ID: I20060314000652 |
Provider Name | Elizabeth D Gammada |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801166673 PECOS PAC ID: 5597928739 Enrollment ID: I20120525000120 |