Fentress Family Practice

LBN: Fentress Family Practice Pllc
Fentress Family Practice is an health care organization with primary practice located at 101 S Duncan St , Jamestown TN 38556-9999. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fentress Family Practice Pllc can be contacted via phone (931) 879-4645, or through Clapp, Mark Allen via phone (931) 879-4645.

Contact Information

Primary practice address
101 S Duncan St Jamestown TN 38556-9999
Phone: (931) 879-4645
Fax: (931) 879-2606
Website:
Map and Directions
Authorized official contact:
Name: Clapp, Mark Allen Doctor of Medicine (MD)
Phone: (931) 879-4645

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1467592774
LBN Legal business name Fentress Family Practice Pllc
DBA Doing business as Fentress Family Practice
Authorized official Clapp, Mark Allen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467592774 NPPES
Tennessee MEDICAID 3714535

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