Talbott Legacy Centers | |
1821 W Broadway Ave Maryville TN 37801-5511 | |
(865) 964-5748 | |
Not Available |
Full Name | Talbott Legacy Centers |
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Speciality | Clinic/Center |
Location | 1821 W Broadway Ave, Maryville, Tennessee |
Authorized Official Name and Position | Zachary Charles Talbott (PRESIDENT) |
Authorized Official Contact | 8657240852 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Talbott Legacy Centers 1821 W Broadway Ave Maryville TN 37801-5511 Ph: (865) 724-0852 | Talbott Legacy Centers 1821 W Broadway Ave Maryville TN 37801-5511 Ph: (865) 964-5748 |
NPI Number | 1649897802 |
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Provider Enumeration Date | 07/02/2020 |
Last Update Date | 11/06/2021 |
Medicare PECOS PAC ID | 2365835303 |
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Medicare Enrollment ID | O20220215001351 |
Identifier | Type | State | Issuer |
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1649897802 | NPI | - | NPPES |
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