Organization Name: | ACCESS MEDICAL CARE OF MC |
NPI Number: | 1962877712 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA A LEVIN (OWNER) |
Mailing Address: | 4233 Highway 411 Madisonville |
State: | TN US |
Postal Code: | 373541571 |
Phone Number: | 4234428084 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2015 |
NPI Last Update Date: | 12/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |