# STATE OF TENNESSEE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Columbia Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487758611
- **Authorized official:** BARBARA J WHITWELL (OFFICE SUPERVISOR)
- **Authorized official phone:** (931) 490-8334

## Contact information

- **Practice address:** 1216 TROTWOOD AVE, COLUMBIA, TN 38401-6406
- **Practice address phone:** (931) 380-2532
- **Practice address fax:** (931) 380-3364
- **Mailing address:** 1216 TROTWOOD AVE, COLUMBIA, TN 38401-6406
- **Mailing address phone:** (931) 380-2532
- **Mailing address fax:** (931) 380-3364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2006
- **Last updated:** 09/25/2012