Providence Family Medicine, Pllc

NPI #1376722546 in Madison, Tennessee

Provider Information

NPI Number
1376722546
Entity Type
Organization
Organization Name
Providence Family Medicine, Pllc
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Oct 24, 2007
Last Updated
Oct 21, 2008

Practice Location

Address
1210 BRIARVILLE RD BLDG E
ZIP Code
37115-5136
Phone
(615) 860-8182

Authorized Official

Name
MRS. WENDY G MYLES, RMA
Title
OFFICE MANAGER
Phone
(615) 860-8182

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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