| The Thrasher Clinic Llc | |
|
6685 Highway 64 Ste 4 Oakland TN 38060-3402 | |
| (901) 465-9955 | |
| (901) 465-9945 |
| Full Name | The Thrasher Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6685 Highway 64 Ste 4, Oakland, Tennessee |
| Authorized Official Name and Position | Barton B Thrasher (OWNER) |
| Authorized Official Contact | 9014659955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Thrasher Clinic Llc 6685 Highway 64 Ste 4 Oakland TN 38060-3402 Ph: (901) 465-9955 | The Thrasher Clinic Llc 6685 Highway 64 Ste 4 Oakland TN 38060-3402 Ph: (901) 465-9955 |
| NPI Number | 1316073794 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 09/09/2024 |
| Medicare PECOS PAC ID | 6406864925 |
|---|---|
| Medicare Enrollment ID | O20060324000580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316073794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Barton B Thrasher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740223460 PECOS PAC ID: 4880673359 Enrollment ID: I20040717000362 |
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