Organization
FAITH FAMILY MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FRANKLIN CALLERY MSN, FNP-C (OWNER)
(731) 734-2023
Entity
Organization
Contact information
Practice address
511 E MAIN ST, BROWNSVILLE, TN 38012
(731) 734-2023
(877) 753-3133
Mailing address
511 E MAIN ST, BROWNSVILLE, TN 38012-4113
(731) 734-2023
(877) 753-3133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q037097
—
TN
Enumeration date
07/03/2018
Last updated
09/22/2022
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