| Ave Maria Medical Pllc | |
|
1411 W Baddour Pkwy Lebanon TN 37087-2513 | |
| (615) 443-2544 | |
| (615) 443-2548 |
| Full Name | Ave Maria Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1411 W Baddour Pkwy, Lebanon, Tennessee |
| Authorized Official Name and Position | Anthony U Efobi (OWNER) |
| Authorized Official Contact | 6154432544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ave Maria Medical Pllc Po Box 570 Lebanon TN 37088-0570 Ph: (615) 443-2544 | Ave Maria Medical Pllc 1411 W Baddour Pkwy Lebanon TN 37087-2513 Ph: (615) 443-2544 |
| NPI Number | 1548575400 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 08/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548575400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD0000040753 (Tennessee) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | MD0000040524 (Tennessee) | Secondary |
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