| |
719 Cook Drive Suite 102 Athens TN 37303 | |
(423) 745-1277 | |
(423) 745-2188 |
Full Name | |
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Speciality | Family Medicine |
Location | 719 Cook Drive, Athens, Tennessee |
Authorized Official Name and Position | Daniel Sykes (VICE PRESIDENT) |
Authorized Official Contact | 6153728500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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P.o. Box 906 Athens TN 37371 Ph: (423) 745-1277 | 719 Cook Drive Suite 102 Athens TN 37303 Ph: (423) 745-1277 |
NPI Number | 1073532123 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 06/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073532123 | NPI | - | NPPES |
CJ3772 | Other | MEDICARE RAILROAD | |
3374005 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Donald H. Watters Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Cook Dr, Suite 200, Athens, TN 37303 Phone: 423-507-8369 Fax: 423-507-8387 | |