Providence Family Medicine, Pllc in Madison - Primary Care

Providence Family Medicine, Pllc - NPI 1376722546

Providence Family Medicine, Pllc is a Primary Care in Madison, Tennessee. Providence Family Medicine, Pllc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Providence Family Medicine, Pllc is 1376722546. The last update date is 2008-10-21.

Providence Family Medicine, Pllc's current location address is 1210 Briarville Rd Bldg E, Madison, Tennessee. You can contact this provider via phone number 6158608182 and fax number 6158608184. The mailing address for Providence Family Medicine, Pllc is 1210 Briarville Rd Bldg E, Madison, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Family Medicine, Pllc
Address 1210 Briarville Rd Bldg E, Madison, Tennessee
Phone Number 6158608182
Fax Number 6158608184
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Myles G Wendy
Credentials RMA
Telephone Number 6158608182

NPI Number Detail

NPI Number 1376722546
Provider Enumeration Date 2007-10-24
Last Updated Date 2008-10-21

Provider Mailing Address Detail

Address 1210 Briarville Rd Bldg E
City Madison
State Tennessee (TN)
Post Code 371155136
Phone Number 6158608182
Fax Number 6158608184

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Licence No 37235
Definition:
Serves as the first point of contact for comprehensive healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1376722546 NPI GROUP

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FAQs about Providence Family Medicine, Pllc

What is the Providence Family Medicine, Pllc's 1376722546?

The Providence Family Medicine, Pllc's NPI (National Provider Identifier) Number is 1376722546. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Providence Family Medicine, Pllc is physically located?

The Providence Family Medicine, Pllc is situated at the following address: 1210 Briarville Rd Bldg E, Madison, TN 371155136.

What is the area of specialization for Providence Family Medicine, Pllc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Providence Family Medicine, Pllc is Primary Care, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2300X.

When did the Providence Family Medicine, Pllc receive its 1376722546?

The Providence Family Medicine, Pllc was issued its 1376722546 on 2007-10-24, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Providence Family Medicine, Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Providence Family Medicine, Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-10-21.

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