Memorial Clinic P.C. in Waverly - Family
Memorial Clinic P.C. - NPI 1154353092
Memorial Clinic P.C. is a Family in Waverly, Tennessee. Memorial Clinic P.C. practices all healthcare services and medical treatments related to Family. The NPI Number for Memorial Clinic P.C. is 1154353092. The last update date is 2015-04-16.
Memorial Clinic P.C.'s current location address is 203 E Commerce St, Waverly, Tennessee. You can contact this provider via phone number 9312965833 and fax number 9312967388. The mailing address for Memorial Clinic P.C. is 203 E Commerce St, Waverly, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Memorial Clinic P.C. |
|---|---|
| Address | 203 E Commerce St, Waverly, Tennessee |
| Phone Number | 9312965833 |
| Fax Number | 9312967388 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Judd Sue Bonnie |
| Credentials | APN |
| Telephone Number | 9312965833 |
NPI Number Detail
| NPI Number | 1154353092 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2015-04-16 |
Provider Mailing Address Detail
| Address | 203 E Commerce St |
|---|---|
| City | Waverly |
| State | Tennessee (TN) |
| Post Code | 371851629 |
| Phone Number | 9312965833 |
| Fax Number | 9312967388 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36404232 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Memorial Clinic P.C. by the Centers for Medicare & Medicaid Services?
The Memorial Clinic P.C. has been assigned the NPI (National Provider Identifier) 1154353092. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Memorial Clinic P.C. is geographically located?
The Memorial Clinic P.C. is physically situated at the following location: 203 E Commerce St, Waverly, TN, 371851629.
What is the Memorial Clinic P.C.'s area of specialization and corresponding taxonomy classification?
The Memorial Clinic P.C.'s specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did Memorial Clinic P.C. receive its 1154353092 assignment from the Centers for Medicare & Medicaid Services?
The Memorial Clinic P.C. was assigned its 1154353092 on 2006-07-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Memorial Clinic P.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Memorial Clinic P.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-04-16.