Madison Primary Care, LLC

NPI #1902848534 in Madison, Tennessee

Provider Information

NPI Number
1902848534
Entity Type
Organization
Organization Name
Madison Primary Care, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
HTI HOSPITAL HOLDINGS, INC.
Primary Specialty
Internal Medicine
Enumeration Date
Jun 11, 2006
Last Updated
Aug 29, 2007

Practice Location

Address
510 HOSPITAL DR
Address 2
SUITE 380
ZIP Code
37115-5033
Phone
(615) 312-8347

Authorized Official

Name
CHUCK LOCKE
Title
VP
Phone
(615) 373-7604

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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