# ENTERPRISE CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ENTERPRISE CLINIC LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639491616
- **Legal business name:** ENTERPRISE CLINIC LLC
- **Authorized official:** KRISTINA MUSIC (DIRECTOR, PROVIDER ENROLLMENT)
- **Authorized official phone:** (877) 892-9815

## Contact information

- **Practice address:** 101 E BRUNSON ST STE 300, ENTERPRISE, AL 36330-2500
- **Practice address phone:** (332) 393-3212
- **Mailing address:** 7100 COMMERCE WAY, STE 180, BRENTWOOD, TN 37027-2829
- **Mailing address phone:** (615) 465-7000
- **Mailing address fax:** (615) 465-3007

## 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 | — | — | — |

## Other

- **Enumeration date:** 02/18/2010
- **Last updated:** 03/13/2025