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390 Harding Pl Ste 102 Nashville TN 37211-3924 | |
| (615) 837-9080 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 390 Harding Pl Ste 102, Nashville, Tennessee |
| Authorized Official Name and Position | Zandra Renee Petway (PRESIDENT) |
| Authorized Official Contact | 6158840215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
390 Harding Pl Ste 102 Nashville TN 37211-3924 Ph: (615) 884-0215 | 390 Harding Pl Ste 102 Nashville TN 37211-3924 Ph: (615) 837-9080 |
| NPI Number | 1952632531 |
|---|---|
| Provider Enumeration Date | 01/21/2010 |
| Last Update Date | 01/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952632531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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