GERIATRIC ESSENTIALS, PC; NPI #1003086307

Contact Information

GERIATRIC ESSENTIALS, PC

804 SCOTSMAN TRCE
DYERSBURG, TN 38024-2910

Phone: 731-571-8808
Fax: 731-214-1816
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gerontology	364SG0600X	89	Certified Clinical Nurse Specialist

Indicates primary specialty

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NPI Profile & details for GERIATRIC ESSENTIALS, PC

NPI Number 1003086307

LBN Legal business name GERIATRIC ESSENTIALS, PC

Authorized official DAVID HUGHES - (OWNER/OPERATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/03/2008

Last updated 09/01/2020 - About 6 years ago

Identifiers

TN	License #	APN013215
TN	Medicaid	1506654
TN	Medicaid	Q012269

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GERIATRIC ESSENTIALS, PC

Contact Information

Specialty

Gerontology

NPI Profile & details for GERIATRIC ESSENTIALS, PC

Reviews for GERIATRIC ESSENTIALS, PC