Fayetteville Medical Clinic & Urgent Care
Family Medicine in Fayetteville, TN. Organization (NPI-2).
NPI number1124588231
StatusActive
Last updated in NPPESMar 23, 2019
Details
- NPI
- 1124588231
- Entity type
- Organization (NPI-2)
- Legal business name
- Fayetteville Medical Clinic & Urgent Care
- Organization subpart
- No
- Enumeration date
- Mar 23, 2019
- Last updated
- Mar 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
305 College St WFayetteville, TN 37334-2911
Phone 931-532-0523
Mailing address
305 College St WFayetteville, TN 37334-2911
Phone 931-532-0523
Authorized official
Zerene Stephen
Owner
9315320523
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