Organization
MIDDLE TENNESSEE AND ADOLESCENT MEDICINE P.C.
Active
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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