Southern Care Clinic Llc | |
1179 Highway 11w Bean Station TN 37708-5809 | |
(865) 898-8318 | |
Not Available |
Full Name | Southern Care Clinic Llc |
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Speciality | Clinic/Center |
Location | 1179 Highway 11w, Bean Station, Tennessee |
Authorized Official Name and Position | Latasha Jarnagin (OWNER) |
Authorized Official Contact | 8658988318 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southern Care Clinic Llc Po Box 280 Bean Station TN 37708-0280 Ph: () - | Southern Care Clinic Llc 1179 Highway 11w Bean Station TN 37708-5809 Ph: (865) 898-8318 |
NPI Number | 1265771281 |
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Provider Enumeration Date | 02/11/2013 |
Last Update Date | 02/11/2013 |
Medicare PECOS PAC ID | 0244476026 |
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Medicare Enrollment ID | O20130424000209 |
Identifier | Type | State | Issuer |
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1265771281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 13557 (Tennessee) | Primary |
Provider Name | Latasha M Seal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699931857 PECOS PAC ID: 6709069669 Enrollment ID: I20110330000675 |
Bean Station Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1179 Highway 11w, Bean Station, TN 37708 Phone: 865-993-1070 Fax: 865-993-1075 | |
Hometown Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1034 Main St Ste B, Bean Station, TN 37708 Phone: 865-203-5077 | |
Broadway Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1179 Highway 11w, Bean Station, TN 37708 Phone: 865-993-1070 Fax: 865-993-1075 | |
William L. Martin Ii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 Main St, Bean Station, TN 37708 Phone: 865-993-4135 Fax: 865-993-4108 |