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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 DUNCAN (VICE PRESIDENT)
(615) 373-7600
Entity
Organization
Contact information
Practice address
111 WEST KINGSTON SPRINGS ROAD, KINGSTON SPRINGS, TN 37082
(615) 792-1911
Mailing address
111 WEST KINGSTON SPRINGS ROAD, KINGSTON SPRINGS, TN 37082
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
—
7100024380
—
KY
05
—
7100032290
—
KY
Enumeration date
07/05/2007
Last updated
04/22/2010
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