| Sunshine Medical Care Inc | |
|
504 N Highland Ave Jackson TN 38301-4825 | |
| (731) 574-9111 | |
| (731) 574-9999 |
| Full Name | Sunshine Medical Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 504 N Highland Ave, Jackson, Tennessee |
| Authorized Official Name and Position | Allyson Anyanwu (DIRECTOR) |
| Authorized Official Contact | 7316590240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Medical Care Inc 504 N Highland Ave Jackson TN 38301-4825 Ph: (731) 574-9111 | Sunshine Medical Care Inc 504 N Highland Ave Jackson TN 38301-4825 Ph: (731) 574-9111 |
| NPI Number | 1942972039 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 04/28/2023 |
| Medicare PECOS PAC ID | 9830597129 |
|---|---|
| Medicare Enrollment ID | O20211019000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942972039 | NPI | - | NPPES |
| 1285686618 | Other | TN | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Allyson Denise Anyanwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285686618 PECOS PAC ID: 1850300260 Enrollment ID: I20060412000714 |
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