Organization
DOCTORS' CLINIC OF UNION CITY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL W. BRADBERRY M.D. (PRESIDENT)
(731) 885-5131
Entity
Organization
Contact information
Practice address
1020 REELFOOT AVE, UNION CITY, TN 38261-5801
(731) 885-5131
(731) 885-5335
Mailing address
1020 REELFOOT AVE, UNION CITY, TN 38261-5801
(731) 885-5131
(731) 885-5335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3375259
—
TN
Enumeration date
02/09/2007
Last updated
05/17/2010
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