| Eagle Family Medical Associates Pllc | |
|
13 Bob Tollett Loop Crossville TN 38555-2835 | |
| (931) 456-6057 | |
| (931) 707-1954 |
| Full Name | Eagle Family Medical Associates Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13 Bob Tollett Loop, Crossville, Tennessee |
| Authorized Official Name and Position | Pierre Berry (PRESIDENT) |
| Authorized Official Contact | 9314566057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Family Medical Associates Pllc Po Box 787 Crossville TN 38557-0787 Ph: (931) 456-6057 | Eagle Family Medical Associates Pllc 13 Bob Tollett Loop Crossville TN 38555-2835 Ph: (931) 456-6057 |
| NPI Number | 1861794752 |
|---|---|
| Provider Enumeration Date | 11/27/2010 |
| Last Update Date | 11/27/2010 |
| Medicare PECOS PAC ID | 2567651573 |
|---|---|
| Medicare Enrollment ID | O20110106000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861794752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Pierre K Berry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639175573 PECOS PAC ID: 5193918951 Enrollment ID: I20101025000980 |
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