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NPI Code Detail

MEDICARE: FRIX-JENNINGS CLINIC PC

MEDICARE: FRIX-JENNINGS CLINIC PC
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
1207R00000XInternal Medicine Physician34823TN
2207Q00000XFamily Medicine Physician34836TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DA6267OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174749469
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRIX-JENNINGS CLINIC PC
Provider Business Mailing Address
First Line : 116 W MAIN ST
Second Line :
City : HENDERSON
State : TN
Zip : 38340-2231
Country : US
Telephone Number : 731-989-0001
Fax Number : 731-989-5151
Provider Business Practice Location Address
First Line : 116 W MAIN ST
Second Line :
City : HENDERSON
State : TN
Zip : 38340-2231
Country : US
Telephone Number : 731-989-0001
Fax Number : 731-989-5151
Authorized Official
Title or Position : PRESIDENT
Name : CAREY WALLACE FRIX
Credential : MD
Telephone Number : 731-989-0001
Provider Enumeration Date : 04/17/2007
Last Update Date : 03/07/2008

Similar Medicare Providers

1497759807 — DR. BERNHARD ERIC DIETZ M.D.
Practice Location Address:
116 W MAIN ST
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38340-2231
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1801881891 — DR. NICOLE MICHELLE JENNINGS M.D.
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1235124223 — DR. CAREY WALLACE FRIX M.D.
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116 W MAIN ST
HENDERSON, TN
38340-2231
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Practice Fax: 731-989-5151
1861445611 — ALEXANDER PEARCE WALKER ANP
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116 W MAIN ST
HENDERSON, TN
38340-2231
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Practice Fax: 731-989-5151
1669954889 — SCOTT SAMPSON NORRIS
Practice Location Address:
116 W MAIN ST
HENDERSON, TN
38340-2231
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1538833785 — MR. TAYLOR BELL LPC-MHSP
Practice Location Address:
116 W MAIN ST
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Practice Fax:

Directions to “FRIX-JENNINGS CLINIC PC ” Practice Location

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