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
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 MedicineAdult Medicine

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