Alton E Ingram Jr. (NPI# 1932601291, PAC ID# 5193076727) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1932601291 |
| PAC ID by PECOS | 5193076727 |
| Professional Enrollment ID | I20180920003151 |
| Full Name | Alton E Ingram Jr. |
| Organization Legal Name | MARVEL CLINIC P.C. |
| Address |
1821 N Washington St Tullahoma TN 37388-2221 |
| Phone Number | 9314552005 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1995 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 0547454811 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1821 N Washington St, Tullahoma, TN 37388-2221 | 9314552005 | MARVEL CLINIC P.C. |
| Organization Legal Name | MARVEL CLINIC P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angel Mario Morales Gonzalez | General Surgery | Marvel Clinic P.C. | 1821 N Washington St, Tullahoma, TN 37388-2221 |
| Jeffrey B Marvel | Otolaryngology | Marvel Clinic P.C. | 1821 N Washington St, Tullahoma, TN 37388-2221 |
| Tamara N Patrick | Physical Therapy | Marvel Clinic P.C. | 1821 N Washington St, Tullahoma, TN 37388-2221 |
| Street Address |
1821 N WASHINGTON ST |
| City | TULLAHOMA |
| State | TN |
| Zip | 37388-2221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angel Mario Morales Gonzalez | General Surgery | Marvel Clinic P.C. | 1821 N Washington St, Tullahoma, TN 37388-2221 |
| Jeffrey B Marvel | Otolaryngology | Marvel Clinic P.C. | 1821 N Washington St, Tullahoma, TN 37388-2221 |
| Tamara N Patrick | Physical Therapy | Marvel Clinic P.C. | 1821 N Washington St, Tullahoma, TN 37388-2221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett L Ferrell | Family Medicine | 100 William N Blvd, Tullahoma, TN 37388 | |
| Jonathan M Garrison | Clinical Psychologist | 111133 Tullahoma Hwy, Tullahoma, TN 37388 | |
| Mark Roddy Russell | Diagnostic Radiology | Medical Imaging Consultants, PC | 1801 N Jackson St, Tullahoma, TN 37388-2201 |
| Robert M Bell | Podiatry | Highland Rim Foot and Ankle Clinic, Pllc | 1948 N Jackson St, Tullahoma, TN 37388-2204 |
| Matthew D Murphey | Podiatry | Highland Rim Foot and Ankle Clinic, Pllc | 1948 N Jackson St, Tullahoma, TN 37388-2204 |
| Brady Palmer | Optometry | 2111 N Jackson St, Tullahoma, TN 37388-2207 | |
| Heather C Bohannon Iyama | Nurse Practitioner | 2120 N Jackson St, Tullahoma, TN 37388-2208 | |
| Jennifer A Shetters | Nurse Practitioner | Spectrum Medical Associates | 2106 N Jackson St, Tullahoma, TN 37388-2208 |
| William B Bradford | Radiation Oncology | 2114 N Jackson St, Tullahoma, TN 37388-2208 | |
| Richard C Cole | Family Medicine | Spectrum Medical Associates | 2106 N Jackson St, Tullahoma, TN 37388-2208 |
| Find all physicians in zip 37388 | |||
| City | TULLAHOMA |
| Zip Code | 37388 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | TULLAHOMA + PLASTIC AND RECONSTRUCTIVE SURGERY |
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| 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.