| Axis Medical, Inc. | |
|
128 Raymond Hirsch Pkwy Box 568 White House TN 37188-8193 | |
| (615) 672-3027 | |
| Not Available |
| Full Name | Axis Medical, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 128 Raymond Hirsch Pkwy, White House, Tennessee |
| Authorized Official Name and Position | Paul Yim (PRESIDENT) |
| Authorized Official Contact | 6156723027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Axis Medical, Inc. 128 Raymond Hirsch Pkwy P.o. Box 568 White House TN 37188-8193 | Axis Medical, Inc. 128 Raymond Hirsch Pkwy Box 568 White House TN 37188-8193 Ph: (615) 672-3027 |
| NPI Number | 1588829659 |
|---|---|
| Provider Enumeration Date | 07/28/2008 |
| Last Update Date | 07/28/2008 |
| Medicare PECOS PAC ID | 9032251244 |
|---|---|
| Medicare Enrollment ID | O20100127000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588829659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Younghee Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598883720 PECOS PAC ID: 6103843727 Enrollment ID: I20051101001231 |
| Provider Name | Paul S Yim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487644522 PECOS PAC ID: 2264526375 Enrollment ID: I20070920000352 |
| Provider Name | Gabriella Elizabeth Converse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104633627 PECOS PAC ID: 9830613835 Enrollment ID: I20250723004472 |
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