| Mrmg Mob | |
|
1222 Trotwood Ave Ste 603 Columbia TN 38401-6410 | |
| (931) 490-1295 | |
| (931) 490-1298 |
| Full Name | Mrmg Mob |
|---|---|
| Speciality | Clinic/Center |
| Location | 1222 Trotwood Ave Ste 603, Columbia, Tennessee |
| Authorized Official Name and Position | Charles J Brinkley (CFO) |
| Authorized Official Contact | 9315404212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mrmg Mob 854 W James M Campbell Blvd Ste 303 Columbia TN 38401-4672 Ph: (931) 490-1295 | Mrmg Mob 1222 Trotwood Ave Ste 603 Columbia TN 38401-6410 Ph: (931) 490-1295 |
| NPI Number | 1770103863 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 6406813781 |
|---|---|
| Medicare Enrollment ID | O20200720003712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770103863 | NPI | - | NPPES |
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