Alamo Family Medicine | |
157 N Bells St Alamo TN 38001-1767 | |
(731) 696-5551 | |
(731) 696-2802 |
Full Name | Alamo Family Medicine |
---|---|
Speciality | Clinic/center |
Location | 157 N Bells St, Alamo, Tennessee |
Authorized Official Name and Position | Ronald C Tillman (MD OWNER) |
Authorized Official Contact | 7316965551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alamo Family Medicine 157 North Bells Street Alamo TN 38001 Ph: (731) 696-5551 | Alamo Family Medicine 157 N Bells St Alamo TN 38001-1767 Ph: (731) 696-5551 |
NPI Number | 1033271812 |
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Provider Enumeration Date | 12/15/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033271812 | NPI | - | NPPES |
3728156 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 4576973 (Tennessee) | Primary |
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Crockett Medical Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 58 S. Bells St, Alamo, TN 38001 Phone: 731-696-5401 Fax: 731-696-5404 |