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Organization
HEALTHSTAR MEDICAL GROUP PLLC
Active
Organization
HEALTHSTAR MEDICAL GROUP PLLC
Active
Other names
HealthStar Medical Group Clarksville
Organization subpart
No
Provider details
NPI number
Authorized official
JIGAR KANUBHAI SHAH (PHYSICIAN)
(931) 802-8056
Entity
Organization
Contact information
Practice address
560 FIRE STATION ROAD, CLARKSVILLE, TN 37043-4016
(931) 368-9736
(931) 346-0097
Mailing address
1960 MADISON ST, CLARKSVILLE, TN 37043-8063
(931) 368-9736
(931) 346-0097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/22/2023
Last updated
08/26/2024
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