| Dekalb Medical Clinic Llp | |
|
518 W Main St Ste C Smithville TN 37166-1100 | |
| (615) 597-4005 | |
| (615) 597-6667 |
| Full Name | Dekalb Medical Clinic Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 518 W Main St Ste C, Smithville, Tennessee |
| Authorized Official Name and Position | Tonya R Jennings (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6156842157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dekalb Medical Clinic Llp 518 W Main St Ste C Smithville TN 37166-1100 Ph: (615) 597-4005 | Dekalb Medical Clinic Llp 518 W Main St Ste C Smithville TN 37166-1100 Ph: (615) 597-4005 |
| NPI Number | 1700552890 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/18/2021 |
| Medicare PECOS PAC ID | 9133527245 |
|---|---|
| Medicare Enrollment ID | O20211004002483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700552890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tonya Renee Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255654083 PECOS PAC ID: 2466760681 Enrollment ID: I20151007001968 |
| Provider Name | Johnny D Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902532930 PECOS PAC ID: 5597163600 Enrollment ID: I20220823003082 |
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