Crockett Medical Clinic Inc is a health care provider in Alamo, TN. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||58 S. Bells St, Alamo, TN 38001, US|
|Practice Location Phone||731-696-5401|
|Practice Location Fax||731-696-5404|
|Legal Business Name||CROCKETT MEDICAL CLINIC INC|
|Enumeration Date ?||Aug 14, 2006|
|Last Update Date ?||Feb 27, 2014|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Family Medicine||Allopathic & Osteopathic Physicians|
|Nurse Practitioner||Physician Assistants & Advanced Practice Nursing Providers|
|Provider Id||Issuer State||Issuer Type||Issuer|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Crockett Medical Clinic Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Mr. Charles Richard Jerman|
|Authorized Official Title/Position||CFO|
|Authorized Official Phone Number||731-696-4670|