Digestive Disease Clinic | |
9 Physicians Dr Jackson TN 38305-2071 | |
(731) 661-0086 | |
(731) 661-0281 |
Full Name | Digestive Disease Clinic |
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Speciality | Internal Medicine |
Location | 9 Physicians Dr, Jackson, Tennessee |
Authorized Official Name and Position | Aimee Cathleen Judy (DIRECTOR, CREDENTIALING) |
Authorized Official Contact | 9017374665 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Digestive Disease Clinic 65 Germantown Ct Ste 300 Cordova TN 38018-4258 Ph: () - | Digestive Disease Clinic 9 Physicians Dr Jackson TN 38305-2071 Ph: (731) 661-0086 |
NPI Number | 1659368900 |
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Provider Enumeration Date | 10/03/2005 |
Last Update Date | 01/04/2024 |
Medicare PECOS PAC ID | 0941297170 |
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Medicare Enrollment ID | O20040428001414 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659368900 | NPI | - | NPPES |
3704350 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Bob T Souder |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1316934664 PECOS PAC ID: 9335136571 Enrollment ID: I20101215000916 |
Provider Name | Wendy Pevahouse |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194149385 PECOS PAC ID: 4981827243 Enrollment ID: I20140514001740 |
Provider Name | Anahita Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306389903 PECOS PAC ID: 1254606395 Enrollment ID: I20200113001677 |
Provider Name | Alexandra Burns |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780347690 PECOS PAC ID: 4486049699 Enrollment ID: I20220324000903 |
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