Wallace F Burroughs Ii (NPI# 1952306029, PAC ID# 3072638915) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1952306029 |
| PAC ID by PECOS | 3072638915 |
| Professional Enrollment ID | I20100915000374 |
| Full Name | Wallace F Burroughs Ii |
| Organization Legal Name | MCMINN MEDICAL GROUP PLLC |
| Address |
1031 W Madison Ave Athens TN 37303-3498 |
| Phone Number | 4237456575 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0749304400 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440068 | STARR REGIONAL MEDICAL CENTER ATHENS |
| Address | Phone | Organization |
|---|---|---|
| 1031 W Madison Ave, Athens, TN 37303-3498 | 4237456575 | MCMINN MEDICAL GROUP PLLC |
| Organization Legal Name | MCMINN MEDICAL GROUP PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Borris | Physician Assistant | Mcminn Medical Group Pllc | 1031 W Madison Ave, Athens, TN 37303-3498 |
| Sally F Moss | Nurse Practitioner | Mcminn Medical Group Pllc | 1031 W Madison Ave, Athens, TN 37303-3498 |
| Charles R Sharpe | Internal Medicine | Mcminn Medical Group Pllc | 1031 W Madison Ave, Athens, TN 37303-3498 |
| Julie L Haney | Nurse Practitioner | Mcminn Medical Group Pllc | 1031 W Madison Ave, Athens, TN 37303-3498 |
| Christopher Maynard | Internal Medicine | Mcminn Medical Group Pllc | 1031 W Madison Ave, Athens, TN 37303-3498 |
| Jennifer Ronne | Nurse Practitioner | Mcminn Medical Group Pllc | 1031 W Madison Ave, Athens, TN 37303-3498 |
| Street Address |
1031 W MADISON AVE |
| City | ATHENS |
| State | TN |
| Zip | 37303-3498 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ross E Kerns | Hematology/oncology | Tennessee Cancer Specialists Pllc | 1031 W Madison Ave, Athens, TN 37303-3498 |
| Kimberly Borris | Physician Assistant | Mcminn Medical Group Pllc | 1031 W Madison Ave, Athens, TN 37303-3498 |
| William Ryan Mitchell | Orthopedic Surgery | Orthoknox | 1031 W Madison Ave, Athens, TN 37303-3498 |
| Hesamm E Gharavi | Hematology/oncology | Tennessee Cancer Specialists Pllc | 1031 W Madison Ave, Athens, TN 37303-3498 |
| Sally F Moss | Nurse Practitioner | Mcminn Medical Group Pllc | 1031 W Madison Ave, Athens, TN 37303-3498 |
| Charles R Sharpe | Internal Medicine | Mcminn Medical Group Pllc | 1031 W Madison Ave, Athens, TN 37303-3498 |
| Julie L Haney | Nurse Practitioner | Mcminn Medical Group Pllc | 1031 W Madison Ave, Athens, TN 37303-3498 |
| Christopher Maynard | Internal Medicine | Mcminn Medical Group Pllc | 1031 W Madison Ave, Athens, TN 37303-3498 |
| Jennifer Ronne | Nurse Practitioner | Mcminn Medical Group Pllc | 1031 W Madison Ave, Athens, TN 37303-3498 |
| William David Hovis | Orthopedic Surgery | Orthoknox | 1031 W Madison Ave, Athens, TN 37303-3498 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura L Mcleod | Diagnostic Radiology | Mcminn Medical Imaging, PC | 1114 W Madison Ave Nw, Athens, TN 37303-0001 |
| Robert G Hewgley Jr. | Diagnostic Radiology | Mcminn Medical Imaging, PC | 1114 W Madison Ave Nw, Athens, TN 37303-0001 |
| Douglas S Hayes | Diagnostic Radiology | Mcminn Medical Imaging, PC | 1114 W Madison Ave Nw, Athens, TN 37303-0001 |
| Stephen Lemings | Diagnostic Radiology | Mcminn Medical Imaging, PC | 1114 W Madison Ave Nw, Athens, TN 37303-0001 |
| Lucille A Dietrick | Chiropractic | 620 N Congress Pkwy, Athens, TN 37303-1618 | |
| Jennifer R King | Audiologist | 311 Congress Pkwy N, Suite 200, Athens, TN 37303-1694 | |
| Michael R Veale | Orthopedic Surgery | Independent Physical Therapy LLC | 311 Congress Pkwy N, Suite 800, Athens, TN 37303-1697 |
| Johnnie Carter | Family Medicine | Independent Physical Therapy LLC | 311 Congress Pkwy N, Suite 800, Athens, TN 37303-1697 |
| William J Thornton | Nurse Practitioner | Independent Physical Therapy LLC | 311 Congress Pkwy N, Suite 800, Athens, TN 37303-1697 |
| Paul A Broadstone | Orthopedic Surgery | Independent Physical Therapy LLC | 311 Congress Pkwy N, Suite 800, Athens, TN 37303-1697 |
| Find all physicians in zip 37303 | |||
| City | ATHENS |
| Zip Code | 37303 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ATHENS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Wallace F Burroughs Ii.
| 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.