| Magnolia Family Medicine And Wellness | |
|
1402 Willow Dr Manchester TN 37355-2438 | |
| (931) 450-1000 | |
| (931) 450-1004 |
| Full Name | Magnolia Family Medicine And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 1402 Willow Dr, Manchester, Tennessee |
| Authorized Official Name and Position | Vanessa Streicher Green (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 9312121479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Family Medicine And Wellness 1344 Mcbrides Branch Rd Beechgrove TN 37018-3718 Ph: (931) 212-1479 | Magnolia Family Medicine And Wellness 1402 Willow Dr Manchester TN 37355-2438 Ph: (931) 450-1000 |
| NPI Number | 1689323776 |
|---|---|
| Provider Enumeration Date | 03/23/2022 |
| Last Update Date | 03/23/2022 |
| Medicare PECOS PAC ID | 4587051420 |
|---|---|
| Medicare Enrollment ID | O20220425001178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689323776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Shelly M Hargrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780961987 PECOS PAC ID: 3779759568 Enrollment ID: I20111228000554 |
| Provider Name | Vanessa Streicher Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023204278 PECOS PAC ID: 4385828078 Enrollment ID: I20130509000469 |
| Provider Name | Victoria Campbell Chester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689145435 PECOS PAC ID: 6406267640 Enrollment ID: I20201119002112 |
Glenn A Davis, Md (rhc) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 Mcarthur St, Manchester, TN 37355 Phone: 931-728-2022 Fax: 931-723-1210 | |
Highland Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1321 Mcarthur St Ste B, Manchester, TN 37355 Phone: 931-723-2265 | |
Coffee Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 482 Interstate Dr, Suite A, Manchester, TN 37355 Phone: 931-728-4718 Fax: 931-728-1016 | |
Premise Health Of Tennessee Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Manchester Industrial Parkway, Manchester, TN 37355 Phone: 615-468-3188 | |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Hillsboro Blvd, Manchester, TN 37355 Phone: 931-253-1110 | |
Coffee Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Mcarthur St, Manchester, TN 37355 Phone: 931-728-3586 Fax: 931-461-2587 | |
Jay Michael Trussler Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 585 Interstate Dr, Suite B, Manchester, TN 37355 Phone: 931-728-9000 Fax: 931-728-2726 |