| |
10 Eldad Rd Fayetteville TN 37334-7005 | |
(931) 433-2229 | |
(931) 433-2398 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 10 Eldad Rd, Fayetteville, Tennessee |
Authorized Official Name and Position | Karen W Campbell (OFFICE MANAGER) |
Authorized Official Contact | 9314332229 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
10 Eldad Rd Fayetteville TN 37334-7005 Ph: (931) 433-2229 | 10 Eldad Rd Fayetteville TN 37334-7005 Ph: (931) 433-2229 |
NPI Number | 1043363492 |
---|---|
Provider Enumeration Date | 01/19/2007 |
Last Update Date | 12/20/2024 |
Medicare PECOS PAC ID | 6204805450 |
---|---|
Medicare Enrollment ID | O20040925000073 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043363492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Theresa Morrison |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760426704 PECOS PAC ID: 0143299396 Enrollment ID: I20100804000137 |
Provider Name | Audra L Meeks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730338682 PECOS PAC ID: 8628263134 Enrollment ID: I20101110000565 |
Provider Name | Kristie M Sanders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043710478 PECOS PAC ID: 6204169477 Enrollment ID: I20190604001479 |
Lincoln Medical Center Surgical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Medical Center Blvd, Suite 175, Fayetteville, TN 37334 Phone: 931-438-1100 Fax: 931-438-7491 | |
Fayetteville Medical Clinic & Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 College St W, Fayetteville, TN 37334 Phone: 931-532-0523 | |
Elk Valley Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 College St W, Fayetteville, TN 37334 Phone: 931-619-3243 Fax: 888-696-1054 | |
Hh Physician Care-fayetteville Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 Elk Ave S, Fayetteville, TN 37334 Phone: 931-433-2551 Fax: 931-438-0069 | |
Doctor Mike Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 College St W, Fayetteville, TN 37334 Phone: 931-227-4984 Fax: 931-227-4985 |