| White Bluff Family Health Care Center Inc | |
|
2004 Highway 47 North White Bluff TN 37187 | |
| (615) 797-3646 | |
| (615) 797-4055 |
| Full Name | White Bluff Family Health Care Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2004 Highway 47 North, White Bluff, Tennessee |
| Authorized Official Name and Position | Edwin Simon (OWNER) |
| Authorized Official Contact | 6157973646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Bluff Family Health Care Center Inc Po Box 624 Goodlettsville TN 37070-0624 Ph: (615) 797-3646 | White Bluff Family Health Care Center Inc 2004 Highway 47 North White Bluff TN 37187 Ph: (615) 797-3646 |
| NPI Number | 1407952799 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 02/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407952799 | NPI | - | NPPES |
| 3711042 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 93835 (Tennessee) | Primary |
Dickson Medical Associates White Bluff Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2004 Highway 47 N, White Bluff, TN 37187 Phone: 615-908-3680 Fax: 615-446-1357 |