Organization
RURAL HEALTH CLINIC OF WEST TN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
G S BINDRA M.D. (MEDICAL DIRECTOR)
(731) 286-0149
Entity
Organization
Contact information
Practice address
1716 PARR AVE, SUITE A, DYERSBURG, TN 38024-2073
(731) 285-3300
(731) 285-3370
Mailing address
PO BOX 1209, DYERSBURG, TN 38025-1209
(731) 285-3300
(731) 285-3370
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104864370
—
TN
Enumeration date
11/21/2013
Last updated
05/28/2015
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