| Redmon Family Practice Pllc | |
|
11408 Kingston Pike Ste 400 Knoxville TN 37934-3975 | |
| (865) 392-1888 | |
| (865) 392-1889 |
| Full Name | Redmon Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 11408 Kingston Pike, Knoxville, Tennessee |
| Authorized Official Name and Position | Eric M Redmon (PRESIDENT) |
| Authorized Official Contact | 8655255134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redmon Family Practice Pllc Po Box 31816 Knoxville TN 37930-1816 Ph: (865) 392-1888 | Redmon Family Practice Pllc 11408 Kingston Pike Ste 400 Knoxville TN 37934-3975 Ph: (865) 392-1888 |
| NPI Number | 1316492887 |
|---|---|
| Provider Enumeration Date | 08/24/2016 |
| Last Update Date | 11/29/2016 |
| Medicare PECOS PAC ID | 1850688169 |
|---|---|
| Medicare Enrollment ID | O20160929000872 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316492887 | NPI | - | NPPES |
| Q025396 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eric M Redmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902947807 PECOS PAC ID: 5890879860 Enrollment ID: I20100910000311 |
| Provider Name | Laura E Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225709348 PECOS PAC ID: 6305235649 Enrollment ID: I20211108002225 |
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