Organization
COMMUNITY MEDICAL CENTER OF MONTEAGLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA A GARNER FNPC (OWNER PROVIDER)
(931) 924-6006
Entity
Organization
Contact information
Practice address
926 WEST MAIN STREET, MONTEAGLE, TN 37356
(931) 924-6006
(931) 924-6007
Mailing address
PO BOX 1148, 926 WEST MAIN STREET, MONTEAGLE, TN 37356-1148
(931) 924-6006
(931) 924-6007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN5310
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3729054
MEDICARE ID
TN
Enumeration date
03/08/2007
Last updated
06/30/2008
Update your record
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