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1397 S College St Bldg 2 Suite 2 Winchester TN 37398-2414 | |
(931) 967-2520 | |
(931) 967-2518 |
Full Name | |
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Speciality | Family Medicine |
Location | 1397 S College St, Winchester, Tennessee |
Authorized Official Name and Position | Jess N Judy (PRESIDENT) |
Authorized Official Contact | 6153728500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1397 S College St Bldg 2 Suite 2 Winchester TN 37398-2414 Ph: (931) 967-2520 | 1397 S College St Bldg 2 Suite 2 Winchester TN 37398-2414 Ph: (931) 967-2520 |
NPI Number | 1962660886 |
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Provider Enumeration Date | 05/28/2008 |
Last Update Date | 07/23/2010 |
Identifier | Type | State | Issuer |
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1962660886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |