| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 702 Grove St, Loudon, Tennessee |
| Authorized Official Name and Position | Charlie David Coscia (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8656573500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
106 Administration Rd Oak Ridge TN 37830-6954 Ph: (865) 566-1909 | 702 Grove St Loudon TN 37774-1481 Ph: (865) 657-3500 |
| NPI Number | 1649649849 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 07/24/2024 |
| Medicare PECOS PAC ID | 0749574135 |
|---|---|
| Medicare Enrollment ID | O20160830002110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649649849 | NPI | - | NPPES |
Integrity Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Grove St, Suite 204, Loudon, TN 37774 Phone: 865-458-9080 Fax: 865-458-9096 | |
Np Clinics Of Tennessee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Grove St, Suite 204, Loudon, TN 37774 Phone: 865-809-4326 | |