Organization
ADVANCE CARE MEDICAL PCP TENNESSEE
Active
Other names
Advance Care Medical Clarksville TN
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS MILLAR (SENIOR ADVISOR)
(917) 673-6321
Entity
Organization
Contact information
Practice address
1469 TINY TOWN RD, CLARKSVILLE, TN 37042-7202
(516) 801-1552
Mailing address
3 SCHOOL ST STE 303, GLEN COVE, NY 11542-2548
(516) 801-1552
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
05/11/2022
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