# ADVANCE CARE MEDICAL TENNESSEE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advance Care Medical Clarksville TN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417621095
- **Authorized official:** DOUGLAS MILLAR (SENIOR ADVISER)
- **Authorized official phone:** (917) 673-6321

## Contact information

- **Practice address:** 1469 TINY TOWN RD, CLARKSVILLE, TN 37042-7202
- **Practice address phone:** (931) 343-3347
- **Mailing address:** 3 SCHOOL ST STE 303, GLEN COVE, NY 11542-2548
- **Mailing address phone:** (931) 343-3347

## Taxonomy

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

## Other

- **Enumeration date:** 08/06/2021
- **Last updated:** 03/07/2022