Organization
MAURY REGIONAL AMBULATORY CARE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK SWIFT (CFO)
(931) 381-1111
Entity
Organization
Contact information
Practice address
1218 TROTWOOD AVE, COLUMBIA, TN 38401-6406
(931) 540-4140
(931) 540-4143
Mailing address
1218 TROTWOOD AVE, COLUMBIA, TN 38401-6406
(931) 540-4140
(931) 540-4143
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3732438
—
TN
Enumeration date
05/15/2006
Last updated
06/10/2009
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