| Midtenn Primary Care, Llc | |
|
701 Park Ave Lebanon TN 37087-3724 | |
| (615) 547-6699 | |
| (615) 547-6692 |
| Full Name | Midtenn Primary Care, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 701 Park Ave, Lebanon, Tennessee |
| Authorized Official Name and Position | Helen D Fisher-thorne (PRESIDENT) |
| Authorized Official Contact | 6155476699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtenn Primary Care, Llc 701 Park Ave Lebanon TN 37087-3724 Ph: (615) 547-6699 | Midtenn Primary Care, Llc 701 Park Ave Lebanon TN 37087-3724 Ph: (615) 547-6699 |
| NPI Number | 1750890174 |
|---|---|
| Provider Enumeration Date | 09/28/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750890174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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