1104839703 CROCKETT MEDICAL CLINIC INC
Primary Care Clinic/Center
Active
Basic Information
- Organization Name
- CROCKETT MEDICAL CLINIC INC
- Enumeration Date
- August 14, 2006
- Last Update
- July 2, 2019
- Authorized Official
- MR. CHARLES RICHARD JERMAN III
CFO
Phone: (731) 696-4670
Practice Location
- Address
- 58 S. BELLS ST
ALAMO, TN 38001 - Phone
- (731) 696-5401
- Fax
- (731) 696-5404
Mailing Address
- Address
- 58 S. BELLS ST
ALAMO, TN 38001 - Phone
- (731) 696-5401
- Fax
- (731) 696-5404
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Family Medicine | N/A | N/A | No |
| Nurse Practitioner | 363L00000X | Nurse Practitioner | N/A | N/A | No |
| Primary Care Clinic/Center Primary Care | 261QP2300X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3717707 | 05 | TN | N/A |
| 3717707 | 01 | TN | PTAN |
Frequently Asked Questions
What is CROCKETT MEDICAL CLINIC INC's NPI number?
CROCKETT MEDICAL CLINIC INC's NPI number is 1104839703.
Which doctor has NPI number 1104839703?
The doctor with NPI number 1104839703 is CROCKETT MEDICAL CLINIC INC.
What is CROCKETT MEDICAL CLINIC INC's practice address?
CROCKETT MEDICAL CLINIC INC's practice address is 58 S. BELLS ST, ALAMO, TN, 38001.
Which doctor practices at 58 S. BELLS ST, ALAMO, TN, 38001?
CROCKETT MEDICAL CLINIC INC practices at 58 S. BELLS ST, ALAMO, TN, 38001.
What is CROCKETT MEDICAL CLINIC INC's phone number?
CROCKETT MEDICAL CLINIC INC's phone number is (731) 696-5401.
Who is (731) 696-5401?
(731) 696-5401 is the phone number for CROCKETT MEDICAL CLINIC INC.
What is CROCKETT MEDICAL CLINIC INC's specialty?
CROCKETT MEDICAL CLINIC INC's specialty is Primary Care Clinic/Center.
What type of doctor is CROCKETT MEDICAL CLINIC INC?
CROCKETT MEDICAL CLINIC INC is a Primary Care Clinic/Center.
Is CROCKETT MEDICAL CLINIC INC a Primary Care?
Yes, CROCKETT MEDICAL CLINIC INC is a Primary Care.
Is CROCKETT MEDICAL CLINIC INC still practicing?
Yes, CROCKETT MEDICAL CLINIC INC is currently practicing.
Is CROCKETT MEDICAL CLINIC INC accepting new patients?
CROCKETT MEDICAL CLINIC INC may be accepting new patients. Please call their office at (731) 696-5401 to inquire about availability.
Is NPI 1104839703 still active?
Yes, NPI 1104839703 is currently active.
Where does CROCKETT MEDICAL CLINIC INC practice?
CROCKETT MEDICAL CLINIC INC practices in ALAMO, TN.