Stumb Healthcare Professionals, Llc | |
619 N. Main St Carthage TN 37030 | |
(615) 489-7256 | |
Not Available |
Full Name | Stumb Healthcare Professionals, Llc |
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Speciality | Clinic/Center |
Location | 619 N. Main St, Carthage, Tennessee |
Authorized Official Name and Position | Cristy Stumb (NURSE PRACTITIONER) |
Authorized Official Contact | 6154897256 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stumb Healthcare Professionals, Llc 236 Dixon Springs Hw Carthage TN 37030 Ph: (615) 489-7256 | Stumb Healthcare Professionals, Llc 619 N. Main St Carthage TN 37030 Ph: (615) 489-7256 |
NPI Number | 1477870525 |
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Provider Enumeration Date | 04/29/2010 |
Last Update Date | 04/29/2010 |
Medicare PECOS PAC ID | 1759405400 |
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Medicare Enrollment ID | O20100901000572 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477870525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 14465 (Tennessee) | Primary |
Provider Name | Cristy Stumb |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861728909 PECOS PAC ID: 7113971334 Enrollment ID: I20101103000151 |
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