| L.C. Tennin, Jr M.D., P.A. | |
|
122 E Academy St Canton MS 39046-4502 | |
| (601) 859-8992 | |
| (601) 859-5573 |
| Full Name | L.C. Tennin, Jr M.D., P.A. |
|---|---|
| Speciality | Internal Medicine |
| Location | 122 E Academy St, Canton, Mississippi |
| Authorized Official Name and Position | LC Tennin (ADMINISTRATIVE PRESIDENT) |
| Authorized Official Contact | 6012145998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L.C. Tennin, Jr M.D., P.A. Po Box 647 Canton MS 39046-0647 | L.C. Tennin, Jr M.D., P.A. 122 E Academy St Canton MS 39046-4502 Ph: (601) 859-8992 |
| NPI Number | 1598908774 |
|---|---|
| Provider Enumeration Date | 04/17/2009 |
| Last Update Date | 04/27/2019 |
| Medicare PECOS PAC ID | 6406905819 |
|---|---|
| Medicare Enrollment ID | O20090514000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598908774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
Dr. Arenia C. Mallory Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 276 Nissan Parkway, Building C, Suite 100, Canton, MS 39046 Phone: 601-855-5275 Fax: 601-859-3253 |
G a Carmichael Family Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 Fax: 601-859-8771 |
Ihp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 S Union St, Canton, MS 39046 Phone: 601-761-4536 |
Mea Primary Care Plus LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Southlake Cir, Canton, MS 39046 Phone: 601-859-8550 |
G a Carmichael Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1421 E Peace St Ste B, Canton, MS 39046 Phone: 601-855-2516 Fax: 601-859-8771 |
Magnolia Medical Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1171 Hart St, Canton, MS 39046 Phone: 601-859-9888 Fax: 601-859-9004 |