Middle Tennessee And Adolescent Medicine P.c. | |
100 Physicians Way Suite 200 Lebanon TN 37090-8102 | |
(615) 449-5611 | |
(615) 443-0571 |
Full Name | Middle Tennessee And Adolescent Medicine P.c. |
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Speciality | Clinic/center |
Location | 100 Physicians Way, Lebanon, Tennessee |
Authorized Official Name and Position | Stephen Harmon Claycomb (PRESIDENT) |
Authorized Official Contact | 6154495611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Middle Tennessee And Adolescent Medicine P.c. 100 Physicians Way Suite 200 Lebanon TN 37090-8102 Ph: (615) 449-5611 | Middle Tennessee And Adolescent Medicine P.c. 100 Physicians Way Suite 200 Lebanon TN 37090-8102 Ph: (615) 449-5611 |
NPI Number | 1073634085 |
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Provider Enumeration Date | 04/03/2007 |
Last Update Date | 05/07/2008 |
Identifier | Type | State | Issuer |
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1073634085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | MD023656 (Tennessee) | Primary |
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