Unicoi Medical Associates | |
105 Gay St Erwin TN 37650-1227 | |
(423) 743-6141 | |
(423) 743-1083 |
Full Name | Unicoi Medical Associates |
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Speciality | Family Medicine |
Location | 105 Gay St, Erwin, Tennessee |
Authorized Official Name and Position | J. W. Colinger (PRESIDENT) |
Authorized Official Contact | 4237436141 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Unicoi Medical Associates 105 Gay Street Po Box 399 Erwin TN 37650 Ph: (423) 743-6141 | Unicoi Medical Associates 105 Gay St Erwin TN 37650-1227 Ph: (423) 743-6141 |
NPI Number | 1306875224 |
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Provider Enumeration Date | 07/02/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3173536133 |
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Medicare Enrollment ID | O20060718000069 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306875224 | NPI | - | NPPES |
3380594 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MC8808 (Tennessee) | Primary |
Provider Name | Jason A Colinger |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609829241 PECOS PAC ID: 6709820160 Enrollment ID: I20050616000151 |
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