# MID TN CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FIRST CARE NASHVILLE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003651563
- **Authorized official:** BOLA GABRIEL PA-C (OWNER/CEO)
- **Authorized official phone:** (615) 569-4067

## Contact information

- **Practice address:** 3413 NOLENSVILLE PIKE, NASHVILLE, TN 37211-2909
- **Practice address phone:** (615) 569-4067
- **Mailing address:** 3413 NOLENSVILLE PIKE, NASHVILLE, TN 37211-2909
- **Mailing address phone:** (615) 569-4067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 06/27/2024
- **Last updated:** 06/27/2024