MEDICARE: ACCURATE MEDICAL PRACTICE SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1417194200	OTHER	TN	NPI

General Provider Information

NPI Number	:	1417194200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCURATE MEDICAL PRACTICE SOLUTIONS

Provider Business Mailing Address
First Line	:	1550 SPARTA ST
Second Line	:	SUITE 9
City	:	MC MINNVILLE
State	:	TN
Zip	:	37110-1315
Country	:	US
Telephone Number	:	931-473-6006
Fax Number	:	931-723-0638

Provider Business Practice Location Address
First Line	:	1550 SPARTA ST
Second Line	:	SUITE 9
City	:	MC MINNVILLE
State	:	TN
Zip	:	37110-1315
Country	:	US
Telephone Number	:	931-473-6006
Fax Number	:	931-723-0638

Authorized Official
Title or Position	:	CFO
Name	:	MS. SALLY MARY VANN
Credential	:
Telephone Number	:	931-461-3183

Provider Enumeration Date	:	01/15/2009
Last Update Date	:	03/04/2009

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Directions to “ACCURATE MEDICAL PRACTICE SOLUTIONS ” Practice Location

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