Nissan-decherd | |
520 Warren Chapel Rd Decherd TN 37324-3937 | |
(931) 962-5164 | |
Not Available |
Full Name | Nissan-decherd |
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Speciality | General Practice |
Location | 520 Warren Chapel Rd, Decherd, Tennessee |
Authorized Official Name and Position | Stuart Clark (EXECUTIVE VP) |
Authorized Official Contact | 6155775890 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nissan-decherd 5500 Maryland Way Suite 400 Brentwood TN 37027-4948 Ph: () - | Nissan-decherd 520 Warren Chapel Rd Decherd TN 37324-3937 Ph: (931) 962-5164 |
NPI Number | 1841591021 |
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Provider Enumeration Date | 11/04/2010 |
Last Update Date | 08/17/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841591021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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