| John C Mckeown, Md | |
|
2578 Main St Palmer TN 37365-2730 | |
| (931) 779-3691 | |
| (931) 779-3690 |
| Full Name | John C Mckeown, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 2578 Main St, Palmer, Tennessee |
| Authorized Official Name and Position | Sharon Wattenbarger (CREDENTIALING/BILLING MANAGER) |
| Authorized Official Contact | 4234727938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John C Mckeown, Md Po Box 100 Palmer TN 37365-0100 Ph: (931) 779-3691 | John C Mckeown, Md 2578 Main St Palmer TN 37365-2730 Ph: (931) 779-3691 |
| NPI Number | 1497126700 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 10/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497126700 | NPI | - | NPPES |
| 1514317 | Medicaid | TN | |
| 6040299 | Other | TN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD029059 (Tennessee) | Primary |
John C Mckeown Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2578 Main St, Palmer, TN 37365 Phone: 931-779-3691 Fax: 931-779-3690 | |
Amg Southern Tn, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2578 Main St, Palmer, TN 37365 Phone: 931-779-3691 Fax: 931-779-3690 | |
Amg-southern Tennessee Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2578 Main St, Palmer, TN 37365 Phone: 931-779-3691 Fax: 931-779-3690 |