Organization
METROPOLITAN INTERDENOMINATIONAL CHURCH
Active
Other names
First Response Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY TERRELL (CHIEF OPERATING OFFICER)
(615) 321-9791
Entity
Organization
Contact information
Practice address
1223 9TH AVE N, NASHVILLE, TN 37208-2552
(615) 277-0615
(615) 321-9793
Mailing address
PO BOX 280779, NASHVILLE, TN 37228-0779
(615) 321-9791
(615) 321-9793
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3724325
—
TN
01
—
4087595
BCBS
TN
Enumeration date
06/02/2006
Last updated
11/03/2011
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