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1102 Dow St Murfreesboro TN 37130-2486 | |
| (615) 904-7170 | |
| (866) 703-0598 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1102 Dow St, Murfreesboro, Tennessee |
| Authorized Official Name and Position | Joshua Courtney (DIRECTOR) |
| Authorized Official Contact | 6159047170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1102 Dow St Murfreesboro TN 37130-2486 Ph: (615) 904-7170 | 1102 Dow St Murfreesboro TN 37130-2486 Ph: (615) 904-7170 |
| NPI Number | 1801126107 |
|---|---|
| Provider Enumeration Date | 01/08/2010 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801126107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
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