| Bcp 1, LLC | |
|
2490 Parr Ave Ste 9 Dyersburg TN 38024-2030 | |
| (731) 285-0844 | |
| Not Available |
| Full Name | Bcp 1, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2490 Parr Ave Ste 9, Dyersburg, Tennessee |
| Authorized Official Name and Position | Mark Barrett Brooks (AO) |
| Authorized Official Contact | 7315130882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bcp 1, LLC 2490 Parr Ave Ste 9 Dyersburg TN 38024-2030 Ph: (731) 285-0844 | Bcp 1, LLC 2490 Parr Ave Ste 9 Dyersburg TN 38024-2030 Ph: (731) 285-0844 |
| NPI Number | 1124603402 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 03/17/2021 |
| Certification Date | 03/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124603402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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