Celebration Family Care PLLC
Clinic/Center, Rural Health in Lewisburg, TN. Organization (NPI-2).
NPI number1891053823
StatusActive
Last updated in NPPESMay 8, 2015
Details
- NPI
- 1891053823
- Entity type
- Organization (NPI-2)
- Legal business name
- Celebration Family Care PLLC
- Organization subpart
- No
- Enumeration date
- Apr 27, 2012
- Last updated
- May 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
| 207Q00000X | Family Medicine | MD024783 | TN |
Other names
- Howard J Rupard Sole Mbr (Other Name)
Practice location
529 W Commerce StLewisburg, TN 37091-3219
Phone 931-270-9729 · Fax 931-270-9926
Mailing address
529 W Commerce StLewisburg, TN 37091-3219
Phone 931-270-9729 · Fax 931-270-9926
Authorized official
Chad Graham
Administrator
9315800112
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