| Sycamore Valley Medical Group, Pllc | |
|
313 N Main St Ashland City TN 37015-1319 | |
| (615) 792-1911 | |
| Not Available |
| Full Name | Sycamore Valley Medical Group, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 313 N Main St, Ashland City, Tennessee |
| Authorized Official Name and Position | Misty Holloway (ADMINISTRATOR) |
| Authorized Official Contact | 6157921911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sycamore Valley Medical Group, Pllc 313 N Main St Ashland City TN 37015-1319 Ph: () - | Sycamore Valley Medical Group, Pllc 313 N Main St Ashland City TN 37015-1319 Ph: (615) 792-1911 |
| NPI Number | 1689604365 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689604365 | NPI | - | NPPES |
| 3721906 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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