| Medwest Family Practice, Inc. | |
|
104 Frey St Suite 100 Ashland City TN 37015-1792 | |
| (615) 792-2292 | |
| (615) 792-2207 |
| Full Name | Medwest Family Practice, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 104 Frey St, Ashland City, Tennessee |
| Authorized Official Name and Position | Lance Gardiner (ADMINISTRATOR) |
| Authorized Official Contact | 6157922292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medwest Family Practice, Inc. Po Box 24010 Nashville TN 37202-4010 Ph: (615) 792-2292 | Medwest Family Practice, Inc. 104 Frey St Suite 100 Ashland City TN 37015-1792 Ph: (615) 792-2292 |
| NPI Number | 1679612949 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679612949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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