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NPI Code Detail

MEDICARE: DRESDEN FAMILY CLINIC LLC

MEDICARE: DRESDEN FAMILY CLINIC LLC
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
1261QR1300XRural Health Clinic/Center
2207Q00000XFamily Medicine PhysicianTN

General Provider Information

NPI Number : 1306271994
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRESDEN FAMILY CLINIC LLC
Provider Business Mailing Address
First Line : PO BOX 525
Second Line :
City : DRESDEN
State : TN
Zip : 38225-0525
Country : US
Telephone Number : 731-394-9905
Fax Number : 731-394-9906
Provider Business Practice Location Address
First Line : 130 E LOCUST ST
Second Line :
City : DRESDEN
State : TN
Zip : 38225-1467
Country : US
Telephone Number : 731-364-3196
Fax Number : 731-364-5359
Authorized Official
Title or Position : MD/OWNER
Name : KUMAR P YOGESH
Credential : MD
Telephone Number : 731-364-9905
Provider Enumeration Date : 09/13/2013
Last Update Date : 02/25/2014

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Practice Location Address:
130 E LOCUST ST
DRESDEN, TN
38225-1467
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1255328035 — DRESDEN MEDICAL ASSOCIATES, P. C.
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1366430993 — DR. KUMAR P YOGESH M.D.
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1750572210 — KENNETH WAYNE SPRINGER
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Practice Fax: 731-364-6070
1467745034 — BACK PAIN RELIEF CLINIC, INC
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138 E LOCUST ST
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1881025997 — DRESDEN CHIROPRACTIC AND PHYSICAL THERAPY, PLLC
Practice Location Address:
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Directions to “DRESDEN FAMILY CLINIC LLC ” Practice Location

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