| North Willow Family Medicine Llc | |
|
428 N Willow Ave Cookeville TN 38501-2339 | |
| (931) 372-7788 | |
| (031) 372-7799 |
| Full Name | North Willow Family Medicine Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 428 N Willow Ave, Cookeville, Tennessee |
| Authorized Official Name and Position | Eric Gregory Fox (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9313727788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Willow Family Medicine Llc 428 N Willow Ave Cookeville TN 38501-2339 Ph: (931) 372-7788 | North Willow Family Medicine Llc 428 N Willow Ave Cookeville TN 38501-2339 Ph: (931) 372-7788 |
| NPI Number | 1124111356 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 05/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124111356 | NPI | - | NPPES |
| 3883239 | Medicaid | TN | |
| 4071388 | Other | TN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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Benchmark Pt - Cookeville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 S Jefferson Ave Ste I, Cookeville, TN 38501 Phone: 423-238-7217 | |
1101 Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 Neal St, Cookeville, TN 38501 Phone: 931-528-7797 | |
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