Organization
MIDDLE TENNESSEE ADDICTION CLINIC
Active
Other names
Middle Tennessee Addiction Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALLEN SHEARER MD (OWNER)
(615) 382-3002
Entity
Organization
Contact information
Practice address
801 HILL ST, SPRINGFIELD, TN 37172-2951
(615) 382-3002
(615) 382-2295
Mailing address
801 HILL ST, SPRINGFIELD, TN 37172-2951
(615) 382-3002
(615) 382-2295
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
10243
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3180202
—
TN
01
—
4307400
BLUE CROSS
TN
Enumeration date
02/18/2016
Last updated
02/18/2016
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