Organization
PATH MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENIA KANE (OFFICE MANAGER)
(561) 860-1478
Entity
Organization
Contact information
Practice address
1994 GALLATIN PIKE N, MADISON, TN 37115-2026
(561) 860-1478
Mailing address
1994 GALLATIN PIKE N, MADISON, TN 37115-2026
(561) 860-1478
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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