Restoration Primary Care Pllc | |
1385 S College St Ste 1 Winchester TN 37398-2414 | |
(931) 919-4087 | |
Not Available |
Full Name | Restoration Primary Care Pllc |
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Speciality | Family Medicine |
Location | 1385 S College St Ste 1, Winchester, Tennessee |
Authorized Official Name and Position | Shannon Foster (MEMBER) |
Authorized Official Contact | 9319194087 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Restoration Primary Care Pllc Po Box 10 Winchester TN 37398-0010 Ph: () - | Restoration Primary Care Pllc 1385 S College St Ste 1 Winchester TN 37398-2414 Ph: (931) 919-4087 |
NPI Number | 1609691385 |
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Provider Enumeration Date | 11/18/2024 |
Last Update Date | 11/18/2024 |
Medicare PECOS PAC ID | 4284164393 |
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Medicare Enrollment ID | O20250204003860 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609691385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Shannon Marie Foster |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174849889 PECOS PAC ID: 9931432069 Enrollment ID: I20220603001318 |
Amg - Southern Tennessee, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 Hospital Rd, Suite D, Winchester, TN 37398 Phone: 931-967-8222 Fax: 931-967-8226 | |
Amg-southern Tennessee Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2118 Cowan Hwy, Winchester, TN 37398 Phone: 931-962-4040 Fax: 931-962-2277 | |
Cowan Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2230 Cowan Hwy Ste B, Winchester, TN 37398 Phone: 931-962-1345 Fax: 931-967-6439 | |
Cumberland Healthcare Group Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Shirley Dr, Winchester, TN 37398 Phone: 931-967-0872 | |
Amg -southern Tennessee Llc 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 | |
Amg-southern Tennessee Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2118 Cowan Hwy, Winchester, TN 37398 Phone: 931-962-4040 Fax: 931-962-2277 | |
Amg-southern Tennessee Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 155 Hospital Rd Ste E, Winchester, TN 37398 Phone: 931-962-0672 |