# FCM-MTC MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** First Medical Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730207291
- **Authorized official:** DR. ROBERTA RAINEY FRANCES BURNS M.D. (STATE MEDICAL DIRECTOR)
- **Authorized official phone:** (615) 356-1666

## Contact information

- **Practice address:** 95 WHITE BRIDGE RD, SUITE 219, NASHVILLE, TN 37205-1497
- **Practice address phone:** (615) 356-1666
- **Practice address fax:** (888) 239-5081
- **Mailing address:** 95 WHITE BRIDGE RD, SUITE 219, NASHVILLE, TN 37205-1497
- **Mailing address phone:** (615) 356-1666
- **Mailing address fax:** (888) 239-5081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2400X | Prison Health Clinic/Center | — | TN | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/11/2008