Organization
PURIHIN CLINIC-P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNESTO PADIERNOS CHIOCO M.D. (PRESIDENT/SECRETARY)
(731) 784-3323
Entity
Organization
Contact information
Practice address
3535 CHERE CAROL RD, HUMBOLDT, TN 38343-3634
(731) 784-3323
(731) 784-3324
Mailing address
3535 CHERE CAROL RD, HUMBOLDT, TN 38343-3634
(731) 784-3323
(731) 784-3324
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35377
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110229501
RAILROAD MEDICARE NUMBER
—
01
—
20481
MEMPHIS MANAGED CARE
TN
01
—
3374104
CIGNA
TN
05
—
3374104
—
TN
01
—
4021754
BLUE CROSS BLUE SHIELD
TN
01
—
5724187
AETNA
—
Enumeration date
05/12/2006
Last updated
09/16/2008
Update your record
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