| Sunshine Medical Centers Pc | |
|
380 High St Maryville TN 37804-5846 | |
| (865) 984-6850 | |
| (865) 984-9986 |
| Full Name | Sunshine Medical Centers Pc |
|---|---|
| Speciality | General Practice |
| Location | 380 High St, Maryville, Tennessee |
| Authorized Official Name and Position | Brian Wayne Sunshine (CO-OWNER) |
| Authorized Official Contact | 8659846850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Medical Centers Pc 380 High St Maryville TN 37804-5846 Ph: (865) 984-6850 | Sunshine Medical Centers Pc 380 High St Maryville TN 37804-5846 Ph: (865) 984-6850 |
| NPI Number | 1366913881 |
|---|---|
| Provider Enumeration Date | 12/10/2018 |
| Last Update Date | 12/10/2018 |
| Medicare PECOS PAC ID | 1254747546 |
|---|---|
| Medicare Enrollment ID | O20210311001101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366913881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Leigh A Ricketts |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467429357 PECOS PAC ID: 4082789193 Enrollment ID: I20080822000687 |
| Provider Name | Barry W Sunshine |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174687891 PECOS PAC ID: 8426943663 Enrollment ID: I20111213000661 |
| Provider Name | Brian Sunshine |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134276249 PECOS PAC ID: 4183890262 Enrollment ID: I20111221000274 |
| Provider Name | Charlotte J Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922370386 PECOS PAC ID: 8224291679 Enrollment ID: I20120522000877 |
| Provider Name | Mina Beheshti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770066938 PECOS PAC ID: 8527474816 Enrollment ID: I20210311001092 |
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