Organization
ENCLAVE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLTON DAVIDSON (BUSINESS MANAGER OWNER)
(615) 712-9809
Entity
Organization
Contact information
Practice address
317 SEVEN SPRINGS WAY, SUITE 230, BRENTWOOD, TN 37027-4575
(714) 249-3999
Mailing address
317 SEVEN SPRINGS WAY, SUITE 230, BRENTWOOD, TN 37027-4575
(714) 249-3999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000037790
TN
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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