Fullerton Medical Clinic, Pllc

NPI 1164567830 - Internal Medicine - 207R00000X

NPI Details
NPI 1164567830
Enumeration Date 02/21/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RANDY C. RANDY
Position OWNER
Phone (615) 284-7900
Fax (615) 284-3488
Practice Location
2021 CHURCH ST
SUITE 504
NASHVILLE TN, 37203-2021, US
Phone (615) 284-7900
Fax (615) 284-3488
Business Location
2021 CHURCH ST
SUITE 504
NASHVILLE TN, 37203-2021, US
Phone (615) 284-7900
Fax (615) 284-3488
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Fullerton Medical Clinic, Pllc NPI is 1164567830, taxonomy code is 207R00000X Fullerton Medical Clinic, Pllc physically located at 2021 Church St, Nashville TN, 37203-2021. NPI Number 1033115704 has the healthcare provider type.

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1164567830 NPI number is provided on an as is basis without warranty of any kind. 1164567830 is maintained by the National Plan & Provider Enumeration System. The contents of Fullerton Medical Clinic, Pllc are for informational purposes only.