# IMED URGENT CARE

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

## Provider details

- **NPI number:** 1679951065
- **Authorized official:** DR. SUBIR GUHA MD (SUPERVISING PHYSICIAN)
- **Authorized official phone:** (615) 452-5901

## Contact information

- **Practice address:** 940 MEMORY LN, SUITE 103, GALLATIN, TN 37066-7161
- **Practice address phone:** (615) 452-5901
- **Practice address fax:** (615) 250-7900
- **Mailing address:** PO BOX 1075, GALLATIN, TN 37066-1075
- **Mailing address phone:** (615) 452-5901
- **Mailing address fax:** (615) 250-7900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD0000029196 | TN | — |
| 261QU0200X | Urgent Care Clinic/Center | MD0000029196 | TN | Yes |

## Other

- **Enumeration date:** 05/18/2015
- **Last updated:** 05/19/2015