# COLUMBIA MULTI SPECIALTY CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CMSMC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497822548
- **Authorized official:** MS. INDU BALI MD (CEO)
- **Authorized official phone:** (931) 388-9388

## Contact information

- **Practice address:** 1394 HATCHER LN, SAME, COLUMBIA, TN 38401-3586
- **Practice address phone:** (931) 388-9388
- **Practice address fax:** (931) 388-9808
- **Mailing address:** 1394 HATCHER LN, SUITE A, COLUMBIA, TN 38401-3586
- **Mailing address phone:** (931) 388-9388
- **Mailing address fax:** (931) 388-9808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | TN LIC \# 31656 | TN | Yes |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 03/07/2023