| Agape Family Wellness Clinic | |
|
101 Hospital Dr Camden TN 38320-1617 | |
| (731) 584-2020 | |
| Not Available |
| Full Name | Agape Family Wellness Clinic |
|---|---|
| Speciality | General Practice |
| Location | 101 Hospital Dr, Camden, Tennessee |
| Authorized Official Name and Position | Verneda Herring (FNP) |
| Authorized Official Contact | 7315842020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Family Wellness Clinic 101 Hospital Dr Camden TN 38320-1617 Ph: (731) 584-2020 | Agape Family Wellness Clinic 101 Hospital Dr Camden TN 38320-1617 Ph: (731) 584-2020 |
| NPI Number | 1831511146 |
|---|---|
| Provider Enumeration Date | 01/07/2014 |
| Last Update Date | 12/30/2014 |
| Medicare PECOS PAC ID | 2668695750 |
|---|---|
| Medicare Enrollment ID | O20140517000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831511146 | NPI | - | NPPES |
| Q004839 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 15484 (Tennessee) | Primary |
| Provider Name | Verneda Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992008700 PECOS PAC ID: 3577786664 Enrollment ID: I20140517000145 |
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