Organization · Type 2 NPI

Middle Tennessee and Adolescent Medicine P.c.

Clinic/Center · Lebanon, TN

NPI number 1073634085 Active

Practice location

100 Physicians Way, Suite 200
Lebanon, TN 37090-8102

Fax (615) 443-0571

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XMD023656 (TN)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

21 other providers at this address

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About NPI 1073634085

Middle Tennessee and Adolescent Medicine P.c.'s National Provider Identifier is 1073634085, issued on Apr 3, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lebanon, TN. The record was last updated on May 7, 2008.