# MAURY REGIONAL AMBULATORY CARE CENTER INC.

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

## Provider details

- **NPI number:** 1336190214
- **Authorized official:** MR. NICK SWIFT (CFO)
- **Authorized official phone:** (931) 381-1111

## Contact information

- **Practice address:** 1218 TROTWOOD AVE, COLUMBIA, TN 38401-6406
- **Practice address phone:** (931) 540-4140
- **Practice address fax:** (931) 540-4143
- **Mailing address:** 1218 TROTWOOD AVE, COLUMBIA, TN 38401-6406
- **Mailing address phone:** (931) 540-4140
- **Mailing address fax:** (931) 540-4143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 06/10/2009