Organization · Type 2 NPI

360 Integrated Care PC

Addiction Medicine (Internal Medicine) Physician · Madison, TN

NPI number 1366108102 Active

Practice location

1210 Briarville Rd., Bldg B
Madison, TN 37115

Fax (615) 860-4510

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Internal Medicine) Physician Primary 207RA0401XNone listed

Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

About NPI 1366108102

360 Integrated Care PC's National Provider Identifier is 1366108102, issued on Nov 16, 2021. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Madison, TN. The record was last updated on Nov 16, 2021.