Volunteer Primary Care, Llc | |
127 W Macon Ln Ste 2 Seymour TN 37865-4776 | |
(865) 268-5009 | |
(865) 800-4862 |
Full Name | Volunteer Primary Care, Llc |
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Speciality | Clinic/Center |
Location | 127 W Macon Ln Ste 2, Seymour, Tennessee |
Authorized Official Name and Position | Jeremy Ray Strader (OWNER / OPERATOR) |
Authorized Official Contact | 8652685009 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Volunteer Primary Care, Llc 127 W Macon Ln Ste 2 Seymour TN 37865-4776 Ph: (865) 268-5009 | Volunteer Primary Care, Llc 127 W Macon Ln Ste 2 Seymour TN 37865-4776 Ph: (865) 268-5009 |
NPI Number | 1255088159 |
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Provider Enumeration Date | 03/10/2022 |
Last Update Date | 05/17/2024 |
Medicare PECOS PAC ID | 9830579077 |
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Medicare Enrollment ID | O20220706003116 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255088159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Jeremy Ray Strader |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881237618 PECOS PAC ID: 7416381611 Enrollment ID: I20191220002396 |
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