Premier Primary Care Clinic Inc | |
215 Hawks Rd Ste 6 Martin TN 38237-2742 | |
(731) 281-7501 | |
(731) 281-7503 |
Full Name | Premier Primary Care Clinic Inc |
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Speciality | Family Medicine |
Location | 215 Hawks Rd Ste 6, Martin, Tennessee |
Authorized Official Name and Position | Michael Coleman (OWNER) |
Authorized Official Contact | 7314151172 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Premier Primary Care Clinic Inc 215 Hawks Rd Ste 6 Martin TN 38237-2742 Ph: () - | Premier Primary Care Clinic Inc 215 Hawks Rd Ste 6 Martin TN 38237-2742 Ph: (731) 281-7501 |
NPI Number | 1477246411 |
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Provider Enumeration Date | 05/26/2023 |
Last Update Date | 05/26/2023 |
Medicare PECOS PAC ID | 6800256512 |
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Medicare Enrollment ID | O20230719000287 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477246411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Beth Graves |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225400484 PECOS PAC ID: 9931419215 Enrollment ID: I20151117002554 |
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