# COLUMBIA MEDICAL GROUP - THE FRIST CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLUMBIA MEDICAL GROUP - THE FRIST CLINIC, INC
- **Other names:** Frist Clinic Family Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952509572
- **Legal business name:** COLUMBIA MEDICAL GROUP - THE FRIST CLINIC, INC
- **Authorized official:** GARY DUNCAN (VICE PRESIDENT)
- **Authorized official phone:** (615) 373-7600

## Contact information

- **Practice address:** 111 WEST KINGSTON SPRINGS ROAD, KINGSTON SPRINGS, TN 37082
- **Practice address phone:** (615) 792-1911
- **Mailing address:** 111 WEST KINGSTON SPRINGS ROAD, KINGSTON SPRINGS, TN 37082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2007
- **Last updated:** 04/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100024380 | — | KY |
| 05 | — | 7100032290 | — | KY |