| Clarksville Physician Services Gp | |
|
133 Dr Robert H Lee Drive Dover TN 37058-3750 | |
| (888) 304-1079 | |
| (615) 469-6629 |
| Full Name | Clarksville Physician Services Gp |
|---|---|
| Speciality | Clinic/Center |
| Location | 133 Dr Robert H Lee Drive, Dover, Tennessee |
| Authorized Official Name and Position | Brian Peoples (DIRECTOR) |
| Authorized Official Contact | 6154657000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarksville Physician Services Gp Po Box 8574 Belfast ME 04915-8574 Ph: (877) 848-1463 | Clarksville Physician Services Gp 133 Dr Robert H Lee Drive Dover TN 37058-3750 Ph: (888) 304-1079 |
| NPI Number | 1992077077 |
|---|---|
| Provider Enumeration Date | 02/03/2012 |
| Last Update Date | 07/18/2012 |
| Medicare PECOS PAC ID | 0547276917 |
|---|---|
| Medicare Enrollment ID | O20120328000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992077077 | NPI | - | NPPES |
| 44-8914 | Other | TN | TN-MEDICARE PART A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
State Of Tennessee Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1021 Spring St, Dover, TN 37058 Phone: 931-232-5329 Fax: 931-232-7247 | |
Allison Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 Spring St, Dover, TN 37058 Phone: 931-232-5555 | |
Blane Clinical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1307 Donelson Pkwy, Dover, TN 37058 Phone: 931-232-0123 Fax: 931-232-1185 |