Community Medical Clinic, Inc.

NPI 1013048792 - Clinic/Center - 261QP2300X

NPI Details
NPI 1013048792
Enumeration Date 03/07/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NIKKI NIKKI
Position NP, PRESIDENT
Phone (615) 735-8040
Fax (615) 735-8048
Practice Location
619 MAIN ST N
CARTHAGE TN, 37030-1259, US
Phone (615) 735-8040
Fax (615) 735-8048
Business Location
619 MAIN ST N
CARTHAGE TN, 37030-1259, US
Phone (615) 735-8040
Fax (615) 735-8048
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
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According to our database, Community Medical Clinic, Inc. NPI is 1013048792, taxonomy code is 261QP2300X Community Medical Clinic, Inc. physically located at 619 Main St N, Carthage TN, 37030-1259. NPI Number 1033115704 has the healthcare provider type.

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1013048792 NPI number is provided on an as is basis without warranty of any kind. 1013048792 is maintained by the National Plan & Provider Enumeration System. The contents of Community Medical Clinic, Inc. are for informational purposes only.