Organization
MY FAMILY PHYSICIAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE LEE CATRON MD (PRESIDIENT)
(931) 248-3615
Entity
Organization
Contact information
Practice address
3496 N MAIN ST, CROSSVILLE, TN 38555-5424
(931) 248-3615
Mailing address
PO BOX 3846, CROSSVILLE, TN 38557-3846
(931) 248-3615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3722868
MEDICARE
TN
05
—
3722868
—
TN
Enumeration date
02/11/2008
Last updated
12/31/2008
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