Southern Comfort-primary And Chronic Care Management | |
416 N Locust Ave Lawrenceburg TN 38464-3552 | |
(931) 762-8588 | |
(931) 766-1010 |
Full Name | Southern Comfort-primary And Chronic Care Management |
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Speciality | Clinic/Center |
Location | 416 N Locust Ave, Lawrenceburg, Tennessee |
Authorized Official Name and Position | Haley Kimbrell (FNP) |
Authorized Official Contact | 9317628588 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southern Comfort-primary And Chronic Care Management 1900 Westpoint Rd Westpoint TN 38486-5044 Ph: (931) 279-1215 | Southern Comfort-primary And Chronic Care Management 416 N Locust Ave Lawrenceburg TN 38464-3552 Ph: (931) 762-8588 |
NPI Number | 1114676038 |
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Provider Enumeration Date | 03/18/2022 |
Last Update Date | 03/18/2022 |
Medicare PECOS PAC ID | 5890182406 |
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Medicare Enrollment ID | O20220429001414 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114676038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Haley Kimbrell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598213670 PECOS PAC ID: 2567750276 Enrollment ID: I20161012002989 |
Provider Name | Elizabeth Barron Mashburn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649040080 PECOS PAC ID: 3577993773 Enrollment ID: I20240226001423 |
Amg-crockett, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2019 N Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-1800 Fax: 931-762-9155 | |
One Stop Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 326 N Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-9797 Fax: 931-762-9798 | |
Centennial Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 N Locust Ave, Suite 1, Lawrenceburg, TN 38464 Phone: 931-762-0531 Fax: 931-762-0998 | |
Northside Medical Professionals, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2656 Highway 43 N, Lawrenceburg, TN 38464 Phone: 931-540-4210 Fax: 931-380-1202 | |
Southern Tennessee Ears Nose And Throat Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1908 N Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-5988 Fax: 931-762-5589 | |
Southern Tennessee Regional Health System Lawrenceburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1607 S Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-6571 |