| Patient Centered Physician's Care, P.C. | |
|
25 Security Dr Jackson TN 38305-3754 | |
| (731) 215-2888 | |
| (731) 215-2880 |
| Full Name | Patient Centered Physician's Care, P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 25 Security Dr, Jackson, Tennessee |
| Authorized Official Name and Position | Kimberly a Howerton (MD) |
| Authorized Official Contact | 7312152888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient Centered Physician's Care, P.C. 25 Security Dr Jackson TN 38305-3754 Ph: (731) 215-2888 | Patient Centered Physician's Care, P.C. 25 Security Dr Jackson TN 38305-3754 Ph: (731) 215-2888 |
| NPI Number | 1700197183 |
|---|---|
| Provider Enumeration Date | 06/30/2010 |
| Last Update Date | 08/12/2010 |
| Medicare PECOS PAC ID | 8921124959 |
|---|---|
| Medicare Enrollment ID | O20100928000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700197183 | NPI | - | NPPES |
| 1518542 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31314 (Tennessee) | Primary |
| 207V00000X | Obstetrics & Gynecology | 31314 (Tennessee) | Secondary |
| Provider Name | Kimberly Ann Howerton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922002336 PECOS PAC ID: 5092743039 Enrollment ID: I20050801000128 |
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