| Dayton Internal Medicine, Pllc | |
| 188 16th Ave Suite 107 Dayton TN 37321-1036 | |
| (423) 775-6933 | |
| (423) 775-3372 | 
| Full Name | Dayton Internal Medicine, Pllc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 188 16th Ave, Dayton, Tennessee | 
| Authorized Official Name and Position | Hak S. Seo (OWNER) | 
| Authorized Official Contact | 4237756933 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dayton Internal Medicine, Pllc 188 16th Ave Suite 107 Dayton TN 37321-1036 Ph: (423) 775-6933 | Dayton Internal Medicine, Pllc 188 16th Ave Suite 107 Dayton TN 37321-1036 Ph: (423) 775-6933 | 
| NPI Number | 1942594841 | 
|---|---|
| Provider Enumeration Date | 06/08/2011 | 
| Last Update Date | 06/21/2011 | 
| Medicare PECOS PAC ID | 6901075993 | 
|---|---|
| Medicare Enrollment ID | O20110809000084 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942594841 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 002990 (Georgia) | Primary | 
| Provider Name | Hak S Seo | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1043471238 PECOS PAC ID: 4082883079 Enrollment ID: I20110809000093 | 
| Provider Name | Katie Arnold | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1447709845 PECOS PAC ID: 4082902879 Enrollment ID: I20171215000770 | 
| Provider Name | Lindsay Michaela Hicks | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1134626625 PECOS PAC ID: 1850647058 Enrollment ID: I20180702000184 | 
| Provider Name | Hayley Brewster Ruebusch | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1124674403 PECOS PAC ID: 1355672049 Enrollment ID: I20210303001162 | 
| Trilogy Integrated Health Care, Inc. Of Georgia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Main St, Suite 103, Dayton, TN 37321 Phone: 423-775-4600 | |
| Memorial Health Partners Foundation Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7693 Rhea County Hwy Ste 3, Dayton, TN 37321 Phone: 423-570-8545 Fax: 423-570-0326 | |
| Healthforce Of Dayton, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 16th Ave, Suite 120, Dayton, TN 37321 Phone: 423-499-5655 | |
| Ocoee Regional Health Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3900 Double S Rd, Dayton, TN 37321 Phone: 423-338-8995 Fax: 423-338-8996 | |
| Chetan D. Shah, M.d.,pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 163 Walnut Grove Church Rd, Suite 102, Dayton, TN 37321 Phone: 423-775-4056 Fax: 423-775-1054 | |
| Dayton Pediatrics P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Walnut Grove Church Rd, Dayton, TN 37321 Phone: 423-775-5512 Fax: 423-775-0155 | |
| Specialty Medical Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 188 16th Ave Ste 104, Dayton, TN 37321 Phone: 423-570-0097 Fax: 423-570-0808 |