| Impact Health LLC | |
|
504 W Main St Byrdstown TN 38549-2405 | |
| (931) 397-4802 | |
| Not Available |
| Full Name | Impact Health LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 504 W Main St, Byrdstown, Tennessee |
| Authorized Official Name and Position | Freeman Lee Crowder (SOLE MANAGER) |
| Authorized Official Contact | 9314455028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Health LLC 504 W Main St Byrdstown TN 38549-2405 Ph: (931) 397-4802 | Impact Health LLC 504 W Main St Byrdstown TN 38549-2405 Ph: (931) 397-4802 |
| NPI Number | 1629813597 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629813597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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