| Synergy Medical Associates, Pllc | |
|
57 W Adams St Crossville TN 38555-4836 | |
| (931) 250-5433 | |
| (931) 250-5434 |
| Full Name | Synergy Medical Associates, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 57 W Adams St, Crossville, Tennessee |
| Authorized Official Name and Position | Joanna Gibbs (OWNER) |
| Authorized Official Contact | 9312505433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Medical Associates, Pllc 57 W Adams St Crossville TN 38555-4836 Ph: (931) 250-5433 | Synergy Medical Associates, Pllc 57 W Adams St Crossville TN 38555-4836 Ph: (931) 250-5433 |
| NPI Number | 1083159966 |
|---|---|
| Provider Enumeration Date | 12/30/2016 |
| Last Update Date | 12/29/2023 |
| Medicare PECOS PAC ID | 0547543019 |
|---|---|
| Medicare Enrollment ID | O20170207001098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083159966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Joanna C Gibbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558372862 PECOS PAC ID: 2961443569 Enrollment ID: I20091214000048 |
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