| Tennessee Center Of Integrated Medicine | |
|
1832 Memorial Dr Clarksville TN 37043-6311 | |
| (931) 919-3833 | |
| (931) 919-3832 |
| Full Name | Tennessee Center Of Integrated Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1832 Memorial Dr, Clarksville, Tennessee |
| Authorized Official Name and Position | Vincent Taylor (OWNER) |
| Authorized Official Contact | 9319193833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Center Of Integrated Medicine 1832 Memorial Dr Clarksville TN 37043-6311 Ph: (931) 919-3833 | Tennessee Center Of Integrated Medicine 1832 Memorial Dr Clarksville TN 37043-6311 Ph: (931) 919-3833 |
| NPI Number | 1144793852 |
|---|---|
| Provider Enumeration Date | 01/04/2019 |
| Last Update Date | 01/04/2019 |
| Medicare PECOS PAC ID | 0840539169 |
|---|---|
| Medicare Enrollment ID | O20190305000916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144793852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marcus Pearson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053543314 PECOS PAC ID: 0648319046 Enrollment ID: I20091124000434 |
| Provider Name | James Vincent Taylor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124441522 PECOS PAC ID: 6002031325 Enrollment ID: I20140630001563 |
| Provider Name | Erin Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982032371 PECOS PAC ID: 7810112133 Enrollment ID: I20140709001747 |
| Provider Name | Mandy Childers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255743373 PECOS PAC ID: 5799906541 Enrollment ID: I20171221002299 |
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Matthew Walker Comprehensive Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Dover Rd, Clarksville, TN 37042 Phone: 931-920-5000 Fax: 615-320-6033 | |
Medical Direct Care, Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 190 Hatcher Lane, Suite B, Clarksville, TN 37040 Phone: 931-221-0902 Fax: 931-221-0602 | |
Nebben Physical Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 282 Clear Sky Ct, Clarksville, TN 37043 Phone: 931-647-1199 Fax: 931-647-7010 | |
Stephen A. White, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2289 B Rudolphtown Road, Clarksville, TN 37043 Phone: 931-552-3031 Fax: 931-552-9820 |