| Smoky Mountain Wound Care Llc | |
|
2169 Kirkwall Dr Nolensville TN 37135-2001 | |
| (865) 415-8386 | |
| Not Available |
| Full Name | Smoky Mountain Wound Care Llc |
|---|---|
| Speciality | General Practice |
| Location | 2169 Kirkwall Dr, Nolensville, Tennessee |
| Authorized Official Name and Position | Gabriel Orten (PRESIDENT) |
| Authorized Official Contact | 8654158386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smoky Mountain Wound Care Llc 2169 Kirkwall Dr Nolensville TN 37135-2001 Ph: (865) 415-8386 | Smoky Mountain Wound Care Llc 2169 Kirkwall Dr Nolensville TN 37135-2001 Ph: (865) 415-8386 |
| NPI Number | 1578387692 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 11/16/2024 |
| Medicare PECOS PAC ID | 9335662386 |
|---|---|
| Medicare Enrollment ID | O20250331001734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578387692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Ashley Jean Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124699343 PECOS PAC ID: 3476902206 Enrollment ID: I20231205003540 |
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John R Thompson, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 Oldham Dr, Nolensville, TN 37135 Phone: 615-776-8088 Fax: 615-776-8012 | |
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