Brent D Staton


Address: 507 Gordonsville Hwy, Suite 203, Gordonsville, TN 38563-4652

Brent D Staton (NPI# 1508989450, PAC ID# 4789869546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1508989450
PAC ID by PECOS 4789869546
Professional Enrollment ID I20110421000460
Full Name Brent D Staton
Address 507 Gordonsville Hwy
Suite 203
Gordonsville
TN 38563-4652
Gender M
Graduation Year 2003
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
441307 RIVERVIEW REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
507 Gordonsville Hwy, Suite 203, Gordonsville, TN 38563-4652

Organization Information

Office Location

Street Address 507 GORDONSVILLE HWY
SUITE 203
City GORDONSVILLE
State TN
Zip 38563-4652

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Name Specialty Organization Address
Angela S Moss Family Medicine 126 Jmz Dr, Gordonsville, TN 38563-2152
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Julian Lerone Magee Physical Therapy Drayer Physical Therapy of Tennessee LLC 112 Bradford Blvd, Suite 500, Gordonsville, TN 38563-4600
Kathy Wilbourn Bolton Physical Therapy Drayer Physical Therapy of Tennessee LLC 112 Bradford Blvd, Gordonsville, TN 38563-4600
Ann E Blackwood-widner Physical Therapy Drayer Physical Therapy of Tennessee LLC 112 Bradford Blvd, Suite 500, Gordonsville, TN 38563-4600
Julie R Williams Physical Therapy Drayer Physical Therapy of Tennessee LLC 112 Bradford Blvd, Gordonsville, TN 38563-4600
Vana R Morgan Physical Therapy Drayer Physical Therapy of Tennessee LLC 112 Bradford Blvd, Gordonsville, TN 38563-4600
Chyrl A Miracle Occupational Therapy Drayer Physical Therapy of Tennessee LLC 112 Bradford Blvd, Gordonsville, TN 38563-4600
Casey C Carter Physical Therapy Drayer Physical Therapy of Tennessee LLC 112 Bradford Blvd, Suite 500, Gordonsville, TN 38563-4600
Justin P Brillante Physical Therapy Drayer Physical Therapy of Tennessee LLC 112 Bradford Blvd, Suite 500, Gordonsville, TN 38563-4618
Find all physicians in zip 38563

Competitor

Search similar physicians

City GORDONSVILLE
Zip Code 38563
Specialty FAMILY MEDICINE
City + Specialty GORDONSVILLE + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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