| Jennifer Broyles Md Llc | |
|
1511 Main St Kimball TN 37347-5551 | |
| (423) 837-6000 | |
| (423) 837-6009 |
| Full Name | Jennifer Broyles Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1511 Main St, Kimball, Tennessee |
| Authorized Official Name and Position | Jennifer Broyles (PRESIDENT) |
| Authorized Official Contact | 4238376000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Broyles Md Llc Po Box 8487 Chattanooga TN 37414-0487 Ph: (423) 899-2204 | Jennifer Broyles Md Llc 1511 Main St Kimball TN 37347-5551 Ph: (423) 837-6000 |
| NPI Number | 1134243017 |
|---|---|
| Provider Enumeration Date | 03/18/2007 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134243017 | NPI | - | NPPES |
| 3370123 | Other | TN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
Physician Management Services Of Tennessee Ii, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Mountain View Dr Ste A, Kimball, TN 37347 Phone: 888-829-8550 |