Organization
DOWNTOWN MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY N BOND FNP (NURSE PRACTIONER)
(731) 663-0951
Entity
Organization
Contact information
Practice address
113 HOPKINS AVENUE, BELLS, TN 38006
(731) 663-0951
(731) 663-0941
Mailing address
113 HOPKINS AVENUE, BELLS, TN 38006
(731) 663-0951
(731) 663-0941
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
AP0005413
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3347868
—
TN
Enumeration date
03/27/2013
Last updated
05/30/2013
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