North Main Medical, LLC
NPI #1679106306 in Crossville, Tennessee
Provider Information
- NPI Number
- 1679106306
- Entity Type
- Organization
- Organization Name
- North Main Medical, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Feb 21, 2020
- Last Updated
- Nov 24, 2020
Practice Location
- Address
- 3094 N MAINST
- City
- Crossville
- State
- Tennessee
- ZIP Code
- 38555
- Phone
- (931) 644-5423
Authorized Official
- Name
- TAMARA EROH
- Title
- CREDENTIALING MANAGER
- Phone
- (931) 200-2246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Clinic/Center - Primary Care — Primary Care |
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