Organization · Type 2 NPI

P A Corporate Enterprises LLP

Multi-Specialty Clinic/Center · Medina, TN

NPI number 1598201196 Active

Practice location

589 Highway 45 Byp S
Medina, TN 38355-9633

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed
Physician Assistant	363A00000X	None listed

Multi-Specialty Clinic/Center: Definition to come...

Another provider at this address

Allie Boyd SeatonPhysician Assistant Medina, TN NPI 1427696582

NPI record

NPI: 1598201196
Entity type: Organization (Type 2)
Issued: Jan 6, 2017
Last updated: Jun 21, 2021
Status: Active

Other names

<unavail>
South Gibson Family Care · doing business as
South Gibson Family Care · doing business as

Authorized official

David Jeff Wilbert, PA-C
Owner
(713) 462-0000

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About NPI 1598201196

P A Corporate Enterprises LLP's National Provider Identifier is 1598201196, issued on Jan 6, 2017. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Medina, TN. The record was last updated on Jun 21, 2021.