Organization
CLINIC AT SELMER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED SAID BAKEER M.D. (OWNER)
(731) 645-7952
Entity
Organization
Contact information
Practice address
714 FEDERAL DR, SELMER, TN 38375-1876
(731) 645-7952
(731) 645-8898
Mailing address
714 FEDERAL DR, SELMER, TN 38375-1876
(731) 645-7952
(731) 645-8898
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD0000015732
TN
363L00000X
Nurse Practitioner
APN0000019130
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
APN0000019129
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780671255
NPI
TN
05
—
3010022
—
TN
Enumeration date
02/02/2015
Last updated
08/12/2015
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