# FENTRESS FAMILY PRACTICE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fentress Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467592774
- **Authorized official:** DR. MARK ALLEN CLAPP M.D. (OWNER PHYSICIAN)
- **Authorized official phone:** (931) 879-4645

## Contact information

- **Practice address:** 101 S DUNCAN ST, JAMESTOWN, TN 38556-9999
- **Practice address phone:** (931) 879-4645
- **Practice address fax:** (931) 879-2606
- **Mailing address:** PO BOX 965, JAMESTOWN, TN 38556-0965
- **Mailing address phone:** (931) 879-4645
- **Mailing address fax:** (931) 879-2606

## Taxonomy

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

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 08/22/2020