| Gainesboro Ultimate Med Service Corporation | |
|
179 Buck Branch Ln Gainesboro TN 38562 | |
| (931) 303-0012 | |
| (931) 241-5444 |
| Full Name | Gainesboro Ultimate Med Service Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 179 Buck Branch Ln, Gainesboro, Tennessee |
| Authorized Official Name and Position | Yennier Capote (PRESIDENT) |
| Authorized Official Contact | 9313030012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gainesboro Ultimate Med Service Corporation 179 Buck Branch Ln Gainesboro TN 38562 Ph: (931) 303-0012 | Gainesboro Ultimate Med Service Corporation 179 Buck Branch Ln Gainesboro TN 38562 Ph: (931) 303-0012 |
| NPI Number | 1861704587 |
|---|---|
| Provider Enumeration Date | 07/10/2010 |
| Last Update Date | 07/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861704587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Douglas Dycus Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3698 S Grundy Quarles Hwy, Gainesboro, TN 38562 Phone: 931-268-3224 Fax: 931-268-3228 | |
Cookeville Medical Clinic Gainesboro Rhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 402 E Gore Ave, Gainesboro, TN 38562 Phone: 931-268-6899 Fax: 931-858-8650 |