Individual
JOE FITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1218 TROTWOOD AVE, COLUMBIA, TN 38401-6406
(931) 540-4140
(931) 540-4143
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303, COLUMBIA, TN 38401-4659
(931) 540-4140
(931) 540-4143
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14345
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3004152
—
TN
05
—
3846127
—
TN
01
—
4113802
BCBST
TN
Enumeration date
05/16/2006
Last updated
04/09/2012
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