Organization · Type 2 NPI
Willow Medical Clinic, LLC
Medical Physician Assistant · Manchester, TN
NPI number
1356507404
Active
Practice location
1400 Willow Dr
Manchester, TN 37355-2438
Fax (931) 728-7066
Mailing address
PO Box 1223
Manchester, TN 37349-1223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1356507404
Willow Medical Clinic, LLC's National Provider Identifier is 1356507404, issued on Jul 29, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Manchester, TN. The record was last updated on Jul 29, 2008.