Organization
MIDDLE TENNESSEE AND ADOLESCENT MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN HARMON CLAYCOMB M.D. (PRESIDENT)
(615) 449-5611
Entity
Organization
Contact information
Practice address
100 PHYSICIANS WAY, SUITE 200, LEBANON, TN 37090-8102
(615) 449-5611
(615) 443-0571
Mailing address
100 PHYSICIANS WAY, SUITE 200, LEBANON, TN 37090-8102
(615) 449-5611
(615) 443-0571
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD023656
TN
Other
Enumeration date
04/03/2007
Last updated
05/07/2008
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