| John D. Sanabria, Md Pc | |
|
460 Medical Park Dr Suite 103 Lenoir City TN 37772-5782 | |
| (865) 271-0038 | |
| (865) 271-0040 |
| Full Name | John D. Sanabria, Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 460 Medical Park Dr, Lenoir City, Tennessee |
| Authorized Official Name and Position | John D. Sanabria (OWNER/PRESIDENT) |
| Authorized Official Contact | 8652710038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John D. Sanabria, Md Pc 460 Medical Park Dr Suite 103 Lenoir City TN 37772-5782 Ph: (865) 271-0038 | John D. Sanabria, Md Pc 460 Medical Park Dr Suite 103 Lenoir City TN 37772-5782 Ph: (865) 271-0038 |
| NPI Number | 1891110433 |
|---|---|
| Provider Enumeration Date | 02/19/2014 |
| Last Update Date | 02/19/2014 |
| Medicare PECOS PAC ID | 0244456846 |
|---|---|
| Medicare Enrollment ID | O20140716001688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891110433 | NPI | - | NPPES |
| 3814709 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 28120 (Tennessee) | Primary |
| Provider Name | John Sanabria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477594521 PECOS PAC ID: 8921224452 Enrollment ID: I20140718001270 |
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