| Vitae Health Clinical Services Tennessee Pllc | |
|
112 Health Care Dr Carthage TN 37030-1168 | |
| (615) 735-0569 | |
| Not Available |
| Full Name | Vitae Health Clinical Services Tennessee Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 112 Health Care Dr, Carthage, Tennessee |
| Authorized Official Name and Position | Amish Patel (PRESIDENT) |
| Authorized Official Contact | 2247778045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitae Health Clinical Services Tennessee Pllc 415 W Golf Rod Ste 26 Arlington Heights IL 60005 Ph: (224) 777-8045 | Vitae Health Clinical Services Tennessee Pllc 112 Health Care Dr Carthage TN 37030-1168 Ph: (615) 735-0569 |
| NPI Number | 1790462794 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790462794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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