| Tennova Primary Care Caryville | |
|
140 John Mcghee Blvd Caryville TN 37714-3155 | |
| (865) 647-3230 | |
| (423) 566-6871 |
| Full Name | Tennova Primary Care Caryville |
|---|---|
| Speciality | Clinic/Center |
| Location | 140 John Mcghee Blvd, Caryville, Tennessee |
| Authorized Official Name and Position | Paula Lalor (DIRECTOR /DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennova Primary Care Caryville 140 John Mcghee Blvd Caryville TN 37714-3155 Ph: (865) 647-3230 | Tennova Primary Care Caryville 140 John Mcghee Blvd Caryville TN 37714-3155 Ph: (865) 647-3230 |
| NPI Number | 1023613361 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 03/29/2021 |
| Medicare PECOS PAC ID | 3173795168 |
|---|---|
| Medicare Enrollment ID | O20210205000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023613361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sr Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 138 Herron Ln, Caryville, TN 37714 Phone: 423-562-8339 Fax: 423-562-8339 |