| Father And Son Family Medicine Clinic, Pllc | |
|
315 N Washington Ave Cookeville TN 38501-2603 | |
| (931) 644-2061 | |
| Not Available |
| Full Name | Father And Son Family Medicine Clinic, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 315 N Washington Ave, Cookeville, Tennessee |
| Authorized Official Name and Position | Colin G Smith (PHYSICIAN) |
| Authorized Official Contact | 9316442061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Father And Son Family Medicine Clinic, Pllc 315 N Washington Ave Cookeville TN 38501-2603 Ph: (931) 644-2061 | Father And Son Family Medicine Clinic, Pllc 315 N Washington Ave Cookeville TN 38501-2603 Ph: (931) 644-2061 |
| NPI Number | 1316334428 |
|---|---|
| Provider Enumeration Date | 04/16/2015 |
| Last Update Date | 04/16/2015 |
| Medicare PECOS PAC ID | 4880906171 |
|---|---|
| Medicare Enrollment ID | O20150629002229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316334428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2681 (Tennessee) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | XS4690043 (Tennessee) | Secondary |
| Provider Name | Trueman Smith |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497715767 PECOS PAC ID: 2860517380 Enrollment ID: I20100921000218 |
| Provider Name | Colin Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215223292 PECOS PAC ID: 1658592233 Enrollment ID: I20141023001681 |
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