# FAMILY TIME MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1235405762
- **Authorized official:** MARYANN HARDEN (ADMINISTRATOR)
- **Authorized official phone:** (615) 822-2232

## Contact information

- **Practice address:** 293 NEW SHACKE ISLAND RD, HENDERSONVILLE, TN 37075
- **Practice address phone:** (615) 822-2232
- **Practice address fax:** (615) 822-2234
- **Mailing address:** 293 NEW SHACKE ISLAND RD, HENDERSONVILLE, TN 37075
- **Mailing address phone:** (615) 822-2232
- **Mailing address fax:** (615) 822-2234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2012
- **Last updated:** 03/29/2012