| S&t Beverley, LLC | |
|
321 Tellico St S Madisonville TN 37354-1194 | |
| (865) 213-8594 | |
| (865) 213-8359 |
| Full Name | S&t Beverley, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 321 Tellico St S, Madisonville, Tennessee |
| Authorized Official Name and Position | Debbie J Thompson (CFO) |
| Authorized Official Contact | 8652138336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S&t Beverley, LLC 304 Wright St Sweetwater TN 37874-1181 Ph: (865) 213-8336 | S&t Beverley, LLC 321 Tellico St S Madisonville TN 37354-1194 Ph: (865) 213-8594 |
| NPI Number | 1952723165 |
|---|---|
| Provider Enumeration Date | 01/08/2014 |
| Last Update Date | 01/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952723165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD37666 (Tennessee) | Primary |
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