Organization · Type 2 NPI

Providence Family Medicine, PLLC

Primary Care Clinic/Center · Madison, TN

NPI number 1376722546 Active

Practice location

1210 Briarville Rd Bldg E
Madison, TN 37115-5136

Call (615) 860-8182 Map

Fax (615) 860-8184

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X37235 (TN)

Primary Care Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1376722546

Providence Family Medicine, PLLC's National Provider Identifier is 1376722546, issued on Oct 24, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Madison, TN. The record was last updated on Oct 21, 2008.