| Glover Primary Care | |
|
1550 Sparta St Ste 7 Mcminnville TN 37110-1315 | |
| (931) 474-8005 | |
| (931) 474-8007 |
| Full Name | Glover Primary Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1550 Sparta St Ste 7, Mcminnville, Tennessee |
| Authorized Official Name and Position | Dannie W Glover (OWNER) |
| Authorized Official Contact | 9314748005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glover Primary Care 1550 Sparta St Ste 7 Mcminnville TN 37110-1315 Ph: (931) 474-8005 | Glover Primary Care 1550 Sparta St Ste 7 Mcminnville TN 37110-1315 Ph: (931) 474-8005 |
| NPI Number | 1477068849 |
|---|---|
| Provider Enumeration Date | 12/07/2017 |
| Last Update Date | 12/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477068849 | NPI | - | NPPES |
| 3853878 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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