Organization
AFC PHYSICIANS OF TENNESSEE, PC
Active
Parent organization
AFC PHYSICIANS OF TENNESSEE, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFC PHYSICIANS OF TENNESSEE, PC
Authorized official
MR. RANDY JOHANSEN (PRESIDENT)
(205) 421-2101
Entity
Organization
Contact information
Practice address
5826 NOLENSVILLE PIKE, NASHVILLE, TN 37211-6502
(615) 760-1946
(615) 760-1983
Mailing address
3700 CAHABA BEACH RD, BIRMINGHAM, AL 35242-5225
(205) 403-8902
(205) 421-2109
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G702075
MCR PTAN
AL
Enumeration date
10/01/2013
Last updated
07/13/2020
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