| Decatur County Family Practice Pc | |
|
190 University Ave Parsons TN 38363-2972 | |
| (731) 847-6010 | |
| (731) 847-6011 |
| Full Name | Decatur County Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 190 University Ave, Parsons, Tennessee |
| Authorized Official Name and Position | Joseph H Montgomery (OWNER) |
| Authorized Official Contact | 7318476010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decatur County Family Practice Pc 190 University Ave Po Box 278 Parsons TN 38363-2972 Ph: (731) 847-6010 | Decatur County Family Practice Pc 190 University Ave Parsons TN 38363-2972 Ph: (731) 847-6010 |
| NPI Number | 1114027018 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 06/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114027018 | NPI | - | NPPES |
| 3735206 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23682 (Tennessee) | Primary |
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