| Stubbs Medical Center, Pllc | |
|
189 Lantana Rd Crossville TN 38555-4902 | |
| (931) 456-0881 | |
| (931) 456-1511 |
| Full Name | Stubbs Medical Center, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 189 Lantana Rd, Crossville, Tennessee |
| Authorized Official Name and Position | Brian K Stubbs (MANAGER) |
| Authorized Official Contact | 9314560881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stubbs Medical Center, Pllc Po Box 727 Crossville TN 38557-0727 Ph: (931) 456-0881 | Stubbs Medical Center, Pllc 189 Lantana Rd Crossville TN 38555-4902 Ph: (931) 456-0881 |
| NPI Number | 1841496106 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 10/30/2008 |
| Medicare PECOS PAC ID | 8325131527 |
|---|---|
| Medicare Enrollment ID | O20070904000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841496106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 41045 (Tennessee) | Primary |
| Provider Name | Maria V Stubbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578549721 PECOS PAC ID: 6608879762 Enrollment ID: I20060810000523 |
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