Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROVIDENCE MEDICAL CLINIC LLC
Active OrganizationPROVIDENCE MEDICAL CLINIC LLC is a Specialist organization located in GREENBRIER, Tennessee. NPI 1124215405 is currently active in the NPPES registry. Verify at CMS.
Specialist · GREENBRIER, TN
Registration Details
- NPI Number
- 1124215405
- Provider Type
- Organization
- NPI Issued
- Oct 1, 2007 (18.852078486043 yrs)
- Last Updated
- Apr 29, 2008
Practice Information
- Address
-
2354 HIGHWAY 41 SGREENBRIER, TN, 370735510Browse TN providers · Browse ZIP 37073
- Phone
- 6154836675
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.