| Southern Tennessee Pediatrics - Sewanee | |
|
1318 University Ave Sewanee TN 37375-2336 | |
| (931) 598-9761 | |
| Not Available |
| Full Name | Southern Tennessee Pediatrics - Sewanee |
|---|---|
| Speciality | Clinic/Center |
| Location | 1318 University Ave, Sewanee, 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 Pediatrics - Sewanee 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Southern Tennessee Pediatrics - Sewanee 1318 University Ave Sewanee TN 37375-2336 Ph: (931) 598-9761 |
| NPI Number | 1770284119 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 09/14/2024 |
| Medicare PECOS PAC ID | 5991765943 |
|---|---|
| Medicare Enrollment ID | O20230505002525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770284119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sewanee Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1314 University Ave, Sewanee, TN 37375 Phone: 931-598-5648 Fax: 931-598-0778 | |
Sewanee Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1314 University Ave., Sewanee, TN 37375 Phone: 931-598-5648 Fax: 931-598-0778 | |
Lawrence William Costa, Jr. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 University Ave, Sewanee, TN 37375 Phone: 931-924-4200 | |
University Of The South Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 University Ave, Spo 1182, Sewanee, TN 37375 Phone: 931-598-1270 Fax: 931-598-1746 |