| Compassionate Health Care Llc | |
|
5870 Highway 153 Suite 104 Hixson TN 37343-5826 | |
| (229) 444-5088 | |
| Not Available |
| Full Name | Compassionate Health Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5870 Highway 153, Hixson, Tennessee |
| Authorized Official Name and Position | Keith Weaver (OWNER) |
| Authorized Official Contact | 4237794953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Health Care Llc 5870 Highway 153 Suite 104 Hixson TN 37343-5826 Ph: () - | Compassionate Health Care Llc 5870 Highway 153 Suite 104 Hixson TN 37343-5826 Ph: (229) 444-5088 |
| NPI Number | 1790009793 |
|---|---|
| Provider Enumeration Date | 03/19/2010 |
| Last Update Date | 03/19/2010 |
| Medicare PECOS PAC ID | 2264564566 |
|---|---|
| Medicare Enrollment ID | O20100722000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790009793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2076 (Tennessee) | Primary |
| Provider Name | Keith A Weaver |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265652317 PECOS PAC ID: 6103960125 Enrollment ID: I20100215000317 |
| Provider Name | Brandy R Biederman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497041180 PECOS PAC ID: 4789859935 Enrollment ID: I20111216000181 |
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