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Providence Medical Clinic Llc
Specialist in Greenbrier, Tennessee
NPI 1124215405

Providence Medical Clinic Llc is a Specialist based in Springfield, TN. Providence Medical Clinic Llc practices in Greenbrier, TN. The NPI Number for Providence Medical Clinic Llc is 1124215405 and holds a License No. (Tennessee).

The current practice location address for Providence Medical Clinic Llc is 2354 Highway 41 S, Greenbrier, TN and can be reached out via phone at 615-483-6675.

Location: 2354 Highway 41 S, Greenbrier, TN, 37172-7334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124215405
Provider Name
Providence Medical Clinic Llc
Credential
Provider Entity Type
Organization
Address
2354 Highway 41 S, Greenbrier, TN, 37172-7334
Phone Number
615-483-6675
Fax Number
Provider Enumeration Date
10/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4159035 01 TN BLUE CROSS BLUE SHEILD
institution
Provider Business Practice Location Address Details
Address
2354 Highway 41 S
City
Greenbrier
State
Tennessee
Zip
37073-5510
Phone Number
615-483-6675
Fax Number
person
Provider Business Mailing Address Details
Address
2354 Highway 41 S
City
Greenbrier
State
Tennessee
Zip
37073-5510
Phone Number
615-483-6675
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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