| Southern Tennessee Family Health And Obstetrics, Pulaski | |
|
1255 E College St Ste 100 Pulaski TN 38478-4553 | |
| (931) 292-6644 | |
| Not Available |
| Full Name | Southern Tennessee Family Health And Obstetrics, Pulaski |
|---|---|
| Speciality | Clinic/Center |
| Location | 1255 E College St Ste 100, Pulaski, Tennessee |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Tennessee Family Health And Obstetrics, Pulaski 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Southern Tennessee Family Health And Obstetrics, Pulaski 1255 E College St Ste 100 Pulaski TN 38478-4553 Ph: (931) 292-6644 |
| NPI Number | 1063294296 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 09/12/2024 |
| Medicare PECOS PAC ID | 9436240017 |
|---|---|
| Medicare Enrollment ID | O20231114001686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063294296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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