Reliance Medical Associates Pllc | |
107 Glen Oak Blvd Ste 200 Hendersonville TN 37075 | |
(615) 822-1993 | |
Not Available |
Full Name | Reliance Medical Associates Pllc |
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Speciality | Internal Medicine |
Location | 107 Glen Oak Blvd, Hendersonville, Tennessee |
Authorized Official Name and Position | Margaret B Ikard (PHYSICIAN/OWNER) |
Authorized Official Contact | 6152024347 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Reliance Medical Associates Pllc 107 Glen Oak Blvd Ste 200 Hendersonville TN 37075 Ph: (615) 822-1993 | Reliance Medical Associates Pllc 107 Glen Oak Blvd Ste 200 Hendersonville TN 37075 Ph: (615) 822-1993 |
NPI Number | 1104021914 |
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Provider Enumeration Date | 06/20/2007 |
Last Update Date | 12/01/2022 |
Medicare PECOS PAC ID | 3476641309 |
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Medicare Enrollment ID | O20071110000050 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104021914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO1756 (Tennessee) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jennifer L Montague |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104836741 PECOS PAC ID: 1254390479 Enrollment ID: I20041005000124 |
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