| By Faith Primary Care House Calls, Llc | |
|
5087 Stembridge St Bartlett TN 38002-8935 | |
| (901) 351-2176 | |
| Not Available |
| Full Name | By Faith Primary Care House Calls, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5087 Stembridge St, Bartlett, Tennessee |
| Authorized Official Name and Position | Angela P Owens (OWNER) |
| Authorized Official Contact | 9013386951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| By Faith Primary Care House Calls, Llc 5087 Stembridge St Bartlett TN 38002-8935 Ph: (901) 338-6951 | By Faith Primary Care House Calls, Llc 5087 Stembridge St Bartlett TN 38002-8935 Ph: (901) 351-2176 |
| NPI Number | 1780274985 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 02/06/2024 |
| Medicare PECOS PAC ID | 9335557735 |
|---|---|
| Medicare Enrollment ID | O20210423002156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780274985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Angela P Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366779704 PECOS PAC ID: 7315089687 Enrollment ID: I20100125000576 |
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