# ROSE FAMILY CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215063334
- **Authorized official:** MR. TONY FREEMAN M.D. (SUPERVISING PHYSICIAN)
- **Authorized official phone:** (615) 644-3000

## Contact information

- **Practice address:** 12124 HIGHWAY 52 W STE 5, WESTMORELAND, TN 37186-3257
- **Practice address phone:** (615) 644-3000
- **Practice address fax:** (615) 644-3076
- **Mailing address:** 100B MALLARD SUNRISE DR E, WESTMORELAND, TN 37186-3251
- **Mailing address phone:** (615) 644-3000
- **Mailing address fax:** (615) 644-3076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | TN | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/25/2007
- **Last updated:** 08/08/2022