| The Grove Primary Care Clinic Llc | |
|
702 S Main St Middleton TN 38052-3615 | |
| (731) 376-1311 | |
| (731) 376-1314 |
| Full Name | The Grove Primary Care Clinic Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 702 S Main St, Middleton, Tennessee |
| Authorized Official Name and Position | William J Wysor (PRESIDENT) |
| Authorized Official Contact | 7316953537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Grove Primary Care Clinic Llc 702 S Main St Middleton TN 38052-3615 Ph: (731) 376-1311 | The Grove Primary Care Clinic Llc 702 S Main St Middleton TN 38052-3615 Ph: (731) 376-1311 |
| NPI Number | 1790124097 |
|---|---|
| Provider Enumeration Date | 06/19/2013 |
| Last Update Date | 06/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790124097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Primecare Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Chickadee Ave, Middleton, TN 38052 Phone: 731-376-0034 | |
Advanced Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Main St N, Middleton, TN 38052 Phone: 731-472-2147 Fax: 731-472-2148 | |
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