| Abc Consulting Inc | |
|
526 Highway 52 Byp W Lafayette TN 37083-1614 | |
| (615) 666-9542 | |
| (615) 666-2222 |
| Full Name | Abc Consulting Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 526 Highway 52 Byp W, Lafayette, Tennessee |
| Authorized Official Name and Position | Billy J. Clendenin (OWNER/PHARMACIST-IN-CHARGE) |
| Authorized Official Contact | 6156664444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Consulting Inc 526 Highway 52 Byp W Lafayette TN 37083-1614 Ph: (615) 666-9542 | Abc Consulting Inc 526 Highway 52 Byp W Lafayette TN 37083-1614 Ph: (615) 666-9542 |
| NPI Number | 1033829528 |
|---|---|
| Provider Enumeration Date | 11/25/2022 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 5597293993 |
|---|---|
| Medicare Enrollment ID | O20250113003548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033829528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Carl W Rose |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740326495 PECOS PAC ID: 9830366038 Enrollment ID: I20120111000275 |
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