| Family Medical Center Plc | |
|
1311 S Locust Ave Suite 102 Lawrenceburg TN 38464-4040 | |
| (931) 762-9416 | |
| (931) 762-0634 |
| Full Name | Family Medical Center Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 1311 S Locust Ave, Lawrenceburg, Tennessee |
| Authorized Official Name and Position | Connie K Norton (INSURANCE SPECIALIST) |
| Authorized Official Contact | 9317629416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center Plc 1311 S Locust Ave Ste 102 Po Box 926 Lawrenceburg TN 38464-4054 Ph: (931) 762-9416 | Family Medical Center Plc 1311 S Locust Ave Suite 102 Lawrenceburg TN 38464-4040 Ph: (931) 762-9416 |
| NPI Number | 1447382361 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 10/23/2009 |
| Medicare PECOS PAC ID | 0446207641 |
|---|---|
| Medicare Enrollment ID | O20050331000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447382361 | NPI | - | NPPES |
| DE1190 | Other | TN | RAILROAD MEDICARE |
| 3729164 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD37386 (Tennessee) | Primary |
| Provider Name | Gregory A Hines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134195860 PECOS PAC ID: 4981651189 Enrollment ID: I20050401000053 |
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Southern Tennessee Ears Nose And Throat Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1908 N Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-5988 Fax: 931-762-5589 | |
Southern Tennessee Regional Health System Lawrenceburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1607 S Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-6571 | |
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