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Organization
MAURY REGIONAL AMBULATORY CARE CENTER INC.
Active
Organization
MAURY REGIONAL AMBULATORY CARE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK SWIFT (CFO)
(931) 381-1111
Entity
Organization
Contact information
Practice address
1218 TROTWOOD AVE, COLUMBIA, TN 38401-6406
(931) 540-4140
(931) 540-4143
Mailing address
1218 TROTWOOD AVE, COLUMBIA, TN 38401-6406
(931) 540-4140
(931) 540-4143
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/15/2006
Last updated
06/10/2009
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