Rhea Clinic Pc | |
17310 Hwy 64 Somerville TN 38068 | |
(901) 465-2245 | |
(901) 465-8683 |
Full Name | Rhea Clinic Pc |
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Speciality | Family Medicine |
Location | 17310 Hwy 64, Somerville, Tennessee |
Authorized Official Name and Position | Karl B Rhea (MD) |
Authorized Official Contact | 9014652245 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rhea Clinic Pc 17310 Hwy 64 Somerville TN 38068 Ph: (901) 465-2245 | Rhea Clinic Pc 17310 Hwy 64 Somerville TN 38068 Ph: (901) 465-2245 |
NPI Number | 1154348837 |
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Provider Enumeration Date | 07/17/2006 |
Last Update Date | 06/02/2008 |
Medicare PECOS PAC ID | 7012086739 |
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Medicare Enrollment ID | O20080730000774 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154348837 | NPI | - | NPPES |
3701371 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD0000018090 (Tennessee) | Primary |
Provider Name | Pamela Pierski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124111059 PECOS PAC ID: 3779678883 Enrollment ID: I20071004000509 |
Provider Name | Karl Rhea |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831201292 PECOS PAC ID: 8628106481 Enrollment ID: I20100514000683 |
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