Stephen D. Pershing Md Pllc | |
125 Mountain View Dr Suite 200 Vonore TN 37885-2666 | |
(423) 884-2308 | |
(423) 884-2929 |
Full Name | Stephen D. Pershing Md Pllc |
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Speciality | Internal Medicine |
Location | 125 Mountain View Dr, Vonore, Tennessee |
Authorized Official Name and Position | Stephen Douglas Pershing (OWNER) |
Authorized Official Contact | 4238842308 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stephen D. Pershing Md Pllc 125 Mountain View Dr Suite 200 Vonore TN 37885-2666 Ph: (423) 884-2308 | Stephen D. Pershing Md Pllc 125 Mountain View Dr Suite 200 Vonore TN 37885-2666 Ph: (423) 884-2308 |
NPI Number | 1104159417 |
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Provider Enumeration Date | 09/18/2009 |
Last Update Date | 09/18/2009 |
Identifier | Type | State | Issuer |
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1104159417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD0000010526 (Tennessee) | Primary |
Chota Community Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1206 Highway 411, Vonore, TN 37885 Phone: 423-884-7271 Fax: 423-884-3277 | |
Tellico West Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Deer Crossing, Vonore, TN 37885 Phone: 423-884-6958 Fax: 423-884-6959 |