Mobile Medical Clinic Pllc

NPI #1275567125 in Lebanon, Tennessee

Provider Information

NPI Number: 1275567125
Entity Type: Organization
Organization Name: Mobile Medical Clinic Pllc
Primary Specialty: Physician Assistant
Enumeration Date: Jul 10, 2006
Last Updated: Apr 17, 2008

Practice Location

Address: 404 CASTLE HEIGHTS AVE N
Address 2: SUITE E
City: Lebanon
State: Tennessee
ZIP Code: 37087-1511
Phone: (615) 449-7002

Authorized Official

Name: CRAIG E DEAN, PA
Title: OWNER
Phone: (615) 449-7002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Physician Assistant	363A00000X	Primary

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