Takoma Medical Associates | |
401 Takoma Ave Greeneville TN 37743-4647 | |
(423) 636-3151 | |
Not Available |
Full Name | Takoma Medical Associates |
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Speciality | Family Medicine |
Location | 401 Takoma Ave, Greeneville, Tennessee |
Authorized Official Name and Position | Todd J Dougan (CFO) |
Authorized Official Contact | 4232308512 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Takoma Medical Associates Po Box 37087 Baltimore MD 21297-3807 Ph: (423) 224-3250 | Takoma Medical Associates 401 Takoma Ave Greeneville TN 37743-4647 Ph: (423) 636-3151 |
NPI Number | 1720105810 |
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Provider Enumeration Date | 03/23/2007 |
Last Update Date | 02/06/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720105810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Id Consultant Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Tusculum Blvd, Greeneville, TN 37745 Phone: 423-783-6400 Fax: 423-787-5146 | |
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