Organization
MID TN CLINIC PLLC
Active
Other names
FIRST CARE NASHVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
BOLA GABRIEL PA-C (OWNER/CEO)
(615) 569-4067
Entity
Organization
Contact information
Practice address
3413 NOLENSVILLE PIKE, NASHVILLE, TN 37211-2909
(615) 569-4067
Mailing address
3413 NOLENSVILLE PIKE, NASHVILLE, TN 37211-2909
(615) 569-4067
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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