| Columbia Medical Groupdaystar Inc | |
|
748 Tell Street Athens TN 37303 | |
| (423) 744-8734 | |
| (423) 649-0346 |
| Full Name | Columbia Medical Groupdaystar Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 748 Tell Street, Athens, Tennessee |
| Authorized Official Name and Position | Elizabeth J Tullock (DIRECTOR) |
| Authorized Official Contact | 4237448734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Medical Groupdaystar Inc Po Box 867 Athens TN 37371-0867 Ph: (423) 744-8734 | Columbia Medical Groupdaystar Inc 748 Tell Street Athens TN 37303 Ph: (423) 744-8734 |
| NPI Number | 1417960733 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 10/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417960733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Tennessee) | Primary |
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