| Trenton Medical Clinic Pllc | |
|
120 Davy Crockett Mall Trenton TN 38382-2934 | |
| (731) 855-3719 | |
| Not Available |
| Full Name | Trenton Medical Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Davy Crockett Mall, Trenton, Tennessee |
| Authorized Official Name and Position | Adenike Fatomoh Adedeji (NURSE PRACTITIONER) |
| Authorized Official Contact | 7318553719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trenton Medical Clinic Pllc 120 Davy Crockett Mall Trenton TN 38382-2934 Ph: (731) 855-3719 | Trenton Medical Clinic Pllc 120 Davy Crockett Mall Trenton TN 38382-2934 Ph: (731) 855-3719 |
| NPI Number | 1043750193 |
|---|---|
| Provider Enumeration Date | 03/07/2017 |
| Last Update Date | 03/07/2017 |
| Medicare PECOS PAC ID | 0042597569 |
|---|---|
| Medicare Enrollment ID | O20170509003040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043750193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | APN18036 (Tennessee) | Primary |
| Provider Name | Adenike Fatimoh Adedeji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992134597 PECOS PAC ID: 4688777147 Enrollment ID: I20141104001194 |
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