| |
6336 Algoa Rd Ste 200 Jefferson City MO 65101-9877 | |
(573) 632-1321 | |
(573) 632-1331 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 6336 Algoa Rd Ste 200, Jefferson City, Missouri |
Authorized Official Name and Position | Catherine M Womack (PRESIDENT) |
Authorized Official Contact | 8444077557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | 6336 Algoa Rd Ste 200 Jefferson City MO 65101-9877 Ph: (573) 632-1321 |
NPI Number | 1629372388 |
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Provider Enumeration Date | 01/10/2011 |
Last Update Date | 03/09/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629372388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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