| Camden Medical Clinic, Inc | |
|
160 Hospital Dr. Camden TN 38320 | |
| (731) 279-0600 | |
| (731) 279-0555 |
| Full Name | Camden Medical Clinic, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 160 Hospital Dr., Camden, Tennessee |
| Authorized Official Name and Position | Deborah T Wood (NURSE PRACTITIONER) |
| Authorized Official Contact | 7312790600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camden Medical Clinic, Inc 160 Hospital Dr. Camden TN 38320 Ph: (731) 279-0600 | Camden Medical Clinic, Inc 160 Hospital Dr. Camden TN 38320 Ph: (731) 279-0600 |
| NPI Number | 1285612564 |
|---|---|
| Provider Enumeration Date | 01/06/2006 |
| Last Update Date | 02/02/2011 |
| Medicare PECOS PAC ID | 4385602358 |
|---|---|
| Medicare Enrollment ID | O20041221001038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285612564 | NPI | - | NPPES |
| 3727780 | Medicaid | TN | |
| 44D0984486 | Other | CLIA NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | APN0000006407 (Tennessee) | Primary |
| Provider Name | Deborah T Smothers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467648949 PECOS PAC ID: 2567420532 Enrollment ID: I20041222000132 |
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