Organization · Type 2 NPI
Providence Medical Clinic LLC
Specialist · Greenbrier, TN
NPI number
1124215405
Active
Practice location
2354 Highway 41 S
Greenbrier, TN 37073-5510
Mailing address
172 Foxrun
Springfield, TN 37172-7334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
About NPI 1124215405
Providence Medical Clinic LLC's National Provider Identifier is 1124215405, issued on Oct 1, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Greenbrier, TN. The record was last updated on Apr 29, 2008.