| Geriatric Clinical Consultants Llc | |
|
5606 Cloverland Dr Apt 110 Brentwood TN 37027-4877 | |
| (615) 200-0981 | |
| Not Available |
| Full Name | Geriatric Clinical Consultants Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5606 Cloverland Dr Apt 110, Brentwood, Tennessee |
| Authorized Official Name and Position | Kiffany Peggs (OWNER) |
| Authorized Official Contact | 9018316844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Clinical Consultants Llc 4849 N Mesa St Ste 201 El Paso TX 79912-5919 Ph: (915) 351-6600 | Geriatric Clinical Consultants Llc 5606 Cloverland Dr Apt 110 Brentwood TN 37027-4877 Ph: (615) 200-0981 |
| NPI Number | 1265099634 |
|---|---|
| Provider Enumeration Date | 05/21/2019 |
| Last Update Date | 05/21/2019 |
| Medicare PECOS PAC ID | 3274860762 |
|---|---|
| Medicare Enrollment ID | O20190806003265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265099634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Kiffany J Peggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285809947 PECOS PAC ID: 7810144987 Enrollment ID: I20120823000873 |
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