| Ann Degroff Carter Pllc | |
|
100 Elmhurst Dr Oak Ridge TN 37830-7621 | |
| (865) 481-3367 | |
| Not Available |
| Full Name | Ann Degroff Carter Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Elmhurst Dr, Oak Ridge, Tennessee |
| Authorized Official Name and Position | Ann Degroff Carter (OWNER) |
| Authorized Official Contact | 8652500694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Degroff Carter Pllc 448 N Cedar Bluff Rd # 329 Knoxville TN 37923-3612 Ph: (865) 250-0694 | Ann Degroff Carter Pllc 100 Elmhurst Dr Oak Ridge TN 37830-7621 Ph: (865) 481-3367 |
| NPI Number | 1902586175 |
|---|---|
| Provider Enumeration Date | 07/21/2023 |
| Last Update Date | 07/21/2023 |
| Medicare PECOS PAC ID | 0244685675 |
|---|---|
| Medicare Enrollment ID | O20231004003796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902586175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ann D Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417946674 PECOS PAC ID: 4284728056 Enrollment ID: I20070924000753 |
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