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Organization
COLUMBIA MEDICAL GROUP - THE FRIST CLINIC INC
Active
Organization
COLUMBIA MEDICAL GROUP - THE FRIST CLINIC INC
Active
Parent organization
COLUMBIA MEDICAL GROUP - THE FRIST CLINIC, INC
Other names
Frist Clinic Family Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBIA MEDICAL GROUP - THE FRIST CLINIC, INC
Authorized official
GARY F DUNCAN (VP)
(615) 373-7604
Entity
Organization
Contact information
Practice address
313 N MAIN ST, ASHLAND CITY, TN 37015-1319
(615) 792-1911
(615) 792-0619
Mailing address
313 N MAIN ST, ASHLAND CITY, TN 37015-1319
(615) 792-1911
(615) 792-0619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3713820
—
TN
05
—
7100024920
—
KY
Enumeration date
07/03/2007
Last updated
04/22/2010
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