| Clay County Outpatient Clinic | |
|
102 Old Jefferson Street Celina TN 38551-4040 | |
| (931) 243-3576 | |
| (931) 243-2751 |
| Full Name | Clay County Outpatient Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 102 Old Jefferson Street, Celina, Tennessee |
| Authorized Official Name and Position | Roberto S Mauricio (PRESIDENT) |
| Authorized Official Contact | 9312433576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clay County Outpatient Clinic 102 Old Jefferson Street Celina TN 38551-4040 Ph: (931) 243-3576 | Clay County Outpatient Clinic 102 Old Jefferson Street Celina TN 38551-4040 Ph: (931) 243-3576 |
| NPI Number | 1992988638 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 12/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992988638 | NPI | - | NPPES |
| 3152445 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD7826 (Tennessee) | Primary |
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Gilbert R Ghearing Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Old Jefferson St, Celina, TN 38551 Phone: 931-243-5259 Fax: 931-243-5156 | |
Cumberland River Physician Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Doctors Dr, Celina, TN 38551 Phone: 931-243-3860 Fax: 931-243-4607 | |
Cumberland River Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Old Jefferson St, Celina, TN 38551 Phone: 931-243-3576 Fax: 931-243-5155 |