Awcc
NPI #1205562279 in Murfreesboro, Tennessee
Provider Information
- NPI Number
- 1205562279
- Entity Type
- Organization
- Organization Name
- Awcc
- Primary Specialty
- Family Medicine - Adult Medicine
- Enumeration Date
- Aug 1, 2022
- Last Updated
- Aug 1, 2022
Practice Location
- Address
- 2042 LASCASSAS PIKE STE A4
- City
- Murfreesboro
- State
- Tennessee
- ZIP Code
- 37130-2034
- Phone
- (901) 484-0837
Authorized Official
- Name
- DR. ETHAN KELLUM, MD
- Title
- OWNER
- Phone
- (901) 484-0837
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Adult Medicine — Adult Medicine |
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Individual Providers
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|---|---|
| Sarah Radley | |
| John Lee | |
| DR. Allison Patricia Puckett, M.D. | |
| MRS. Cynthia Fernandez Shaffer, NP-C |
Organizations
| Provider Name | |
|---|---|
| 21st Century Health Care Clinic Pllc |
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