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2681 Andersonville Hwy Ste 102 Clinton TN 37716-6706 | |
(865) 494-5960 | |
(865) 494-5964 |
Full Name | |
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Speciality | Family Medicine |
Location | 2681 Andersonville Hwy, Clinton, Tennessee |
Authorized Official Name and Position | Beth A Maynard (VICE PRESIDENT) |
Authorized Official Contact | 8653056427 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 415000-msc8162 Nashville TN 37241-8162 Ph: (865) 670-6199 | 2681 Andersonville Hwy Ste 102 Clinton TN 37716-6706 Ph: (865) 494-5960 |
NPI Number | 1578886610 |
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Provider Enumeration Date | 03/03/2010 |
Last Update Date | 06/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578886610 | NPI | - | NPPES |
1518343 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Cherokee Health Systems Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 165 Frank L Diggs Dr, Clinton, TN 37716 Phone: 865-934-6150 Fax: 865-342-0150 | |