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Organization
PA CORPORATE ENTERPRISES, LLP
Active
Organization
PA CORPORATE ENTERPRISES, LLP
Active
Other names
greenfield family care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J WILBERT PA-C (OWNER)
(731) 235-0555
Entity
Organization
Contact information
Practice address
801 S MERIDIAN ST, GREENFIELD, TN 38230-2104
(731) 235-0555
(731) 235-0559
Mailing address
801 S MERIDIAN ST, GREENFIELD, TN 38230-2104
(731) 235-0555
(731) 235-0559
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
TN 1396
TN
363A00000X
Physician Assistant
TN 1396
TN
Other
Enumeration date
05/09/2012
Last updated
03/27/2013
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