| Alamo Family Medicine | |
|
157 N Bells St Alamo TN 38001-1767 | |
| (731) 696-5551 | |
| (731) 696-2802 |
| Full Name | Alamo Family Medicine |
|---|---|
| Speciality | Clinic/center |
| Location | 157 N Bells St, Alamo, Tennessee |
| Authorized Official Name and Position | Ronald C Tillman (MD OWNER) |
| Authorized Official Contact | 7316965551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alamo Family Medicine 157 North Bells Street Alamo TN 38001 Ph: (731) 696-5551 | Alamo Family Medicine 157 N Bells St Alamo TN 38001-1767 Ph: (731) 696-5551 |
| NPI Number | 1033271812 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033271812 | NPI | - | NPPES |
| 3728156 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4576973 (Tennessee) | Primary |
Crockett Medical Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 58 S. Bells St, Alamo, TN 38001 Phone: 731-696-5401 Fax: 731-696-5404 |