# CENTRE CLINIC CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558315689
- **Authorized official:** SOPHIA ARWOOD (DIRECTOR; AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 221-1400

## Contact information

- **Practice address:** 395 NORTHWOOD DR, CENTRE, AL 35960-1045
- **Practice address phone:** (256) 927-4900
- **Practice address fax:** (256) 927-9151
- **Mailing address:** PO BOX 5009, BRENTWOOD, TN 37024-5009
- **Mailing address phone:** (615) 221-1400
- **Mailing address fax:** (615) 221-1484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 04/30/2018
