Staton Southern Medical, Pllc | |
131 Hospital Drive Suite 2000 Carthage TN 37030 | |
(423) 364-4817 | |
Not Available |
Full Name | Staton Southern Medical, Pllc |
---|---|
Speciality | Family Medicine |
Location | 131 Hospital Drive, Carthage, Tennessee |
Authorized Official Name and Position | Brent D Staton (PHYSICIAN) |
Authorized Official Contact | 4236196282 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Staton Southern Medical, Pllc 131 Hospital Drive Suite 2000 Carthage TN 37030 Ph: () - | Staton Southern Medical, Pllc 131 Hospital Drive Suite 2000 Carthage TN 37030 Ph: (423) 364-4817 |
NPI Number | 1295033595 |
---|---|
Provider Enumeration Date | 03/10/2011 |
Last Update Date | 03/10/2011 |
Medicare PECOS PAC ID | 9335324193 |
---|---|
Medicare Enrollment ID | O20110421000422 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295033595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Brent D Staton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508989450 PECOS PAC ID: 4789869546 Enrollment ID: I20110421000460 |
Community Medical Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 Main St N, Carthage, TN 37030 Phone: 615-735-8040 Fax: 615-735-8048 | |
Carthage Family Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Hospital Dr, Suite 200, Carthage, TN 37030 Phone: 615-735-3450 Fax: 615-735-3460 | |
Carthage Family Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Hospital Dr, Suite 500, Carthage, TN 37030 Phone: 615-735-0700 Fax: 615-735-5480 | |
Mehta Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Main St N, Carthage, TN 37030 Phone: 615-735-8002 | |
Riverview Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Hospital Dr Ste 500, Carthage, TN 37030 Phone: 615-735-0700 | |
Tanglewood Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 259 Dixon Springs Hwy, Carthage, TN 37030 Phone: 615-735-3555 Fax: 615-735-3588 |