| Whiteville Medical Center Llc | |
|
2400 Us Highway 64 Whiteville TN 38075-7461 | |
| (731) 254-8999 | |
| (731) 254-8997 |
| Full Name | Whiteville Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2400 Us Highway 64, Whiteville, Tennessee |
| Authorized Official Name and Position | Mary Lockhart (MANAGER) |
| Authorized Official Contact | 9014835370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whiteville Medical Center Llc 2400 Us Highway 64 Whiteville TN 38075-7461 Ph: (731) 254-8999 | Whiteville Medical Center Llc 2400 Us Highway 64 Whiteville TN 38075-7461 Ph: (731) 254-8999 |
| NPI Number | 1194551168 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Medicare PECOS PAC ID | 3971036716 |
|---|---|
| Medicare Enrollment ID | O20241031001876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194551168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Anna L Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194118588 PECOS PAC ID: 5698086825 Enrollment ID: I20150615002141 |
| Provider Name | Rylie Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841004298 PECOS PAC ID: 0143749770 Enrollment ID: I20250527002668 |
Health And Healing Medical Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 College St, Whiteville, TN 38075 Phone: 731-254-9001 Fax: 731-254-9955 |