| Seasons Family Medicine, Pllc | |
|
1611 S Jefferson Ave Cookeville TN 38506-5566 | |
| (931) 644-4664 | |
| (833) 992-2128 |
| Full Name | Seasons Family Medicine, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1611 S Jefferson Ave, Cookeville, Tennessee |
| Authorized Official Name and Position | Pamela J Sanders (PHYSICIAN) |
| Authorized Official Contact | 9316444664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seasons Family Medicine, Pllc 1611 S Jefferson Ave Cookeville TN 38506-5566 Ph: (931) 644-0262 | Seasons Family Medicine, Pllc 1611 S Jefferson Ave Cookeville TN 38506-5566 Ph: (931) 644-4664 |
| NPI Number | 1497162382 |
|---|---|
| Provider Enumeration Date | 07/13/2014 |
| Last Update Date | 04/28/2023 |
| Medicare PECOS PAC ID | 5991925554 |
|---|---|
| Medicare Enrollment ID | O20141001002738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497162382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 40043 (Tennessee) | Primary |
| Provider Name | Pamela J Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295706356 PECOS PAC ID: 3779516307 Enrollment ID: I20050914001034 |
| Provider Name | Carly B Sturgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912620139 PECOS PAC ID: 9032595731 Enrollment ID: I20221004001443 |
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