| Mend Well Mobile Care Llc | |
|
1012 Mill Pond Rd Mount Pleasant TN 38474-1034 | |
| (615) 585-5546 | |
| (320) 323-1549 |
| Full Name | Mend Well Mobile Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1012 Mill Pond Rd, Mount Pleasant, Tennessee |
| Authorized Official Name and Position | Ryan Sullivan (MD) |
| Authorized Official Contact | 6155855546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mend Well Mobile Care Llc 1012 Mill Pond Rd Mount Pleasant TN 38474-1034 Ph: (615) 585-5546 | Mend Well Mobile Care Llc 1012 Mill Pond Rd Mount Pleasant TN 38474-1034 Ph: (615) 585-5546 |
| NPI Number | 1285432492 |
|---|---|
| Provider Enumeration Date | 03/04/2025 |
| Last Update Date | 03/04/2025 |
| Medicare PECOS PAC ID | 1850819533 |
|---|---|
| Medicare Enrollment ID | O20250516000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285432492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ryan Richard Sullivan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1417085606 PECOS PAC ID: 6901986280 Enrollment ID: I20250516001059 |
Amg Crockett Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4955 Highway 43 N, Mount Pleasant, TN 38474 Phone: 615-920-7231 |