| Pinnacle Internal Medicine Pllc | |
|
1509 Old Cowan Rd Winchester TN 37398-1913 | |
| (931) 962-1004 | |
| (931) 962-1400 |
| Full Name | Pinnacle Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1509 Old Cowan Rd, Winchester, Tennessee |
| Authorized Official Name and Position | Ephraim B Gammada (OWNER) |
| Authorized Official Contact | 9319621004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Internal Medicine Pllc 1509 Old Cowan Rd Winchester TN 37398-1913 Ph: (931) 962-1004 | Pinnacle Internal Medicine Pllc 1509 Old Cowan Rd Winchester TN 37398-1913 Ph: (931) 962-1004 |
| NPI Number | 1942480801 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 11/09/2007 |
| Medicare PECOS PAC ID | 9739279753 |
|---|---|
| Medicare Enrollment ID | O20080107000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942480801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD26560 (Tennessee) | Primary |
| Provider Name | Ephraim B Gammada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174501027 PECOS PAC ID: 0345257671 Enrollment ID: I20060314000652 |
| Provider Name | Elizabeth D Gammada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801166673 PECOS PAC ID: 5597928739 Enrollment ID: I20120525000120 |
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Donald M. Philpott, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Hospital Rd, Suite B, Winchester, TN 37398 Phone: 931-962-4040 Fax: 931-962-2277 | |
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