Organization
COMMUNITY QUICK CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HELTOM MD (MEDICAL DIRECTOR)
(615) 890-4810
Entity
Organization
Contact information
Practice address
1670 W MAIN ST, SUITE 140, LEBANON, TN 37087-1344
(614) 493-9492
Mailing address
1670 W MAIN ST, SUITE 140, LEBANON, TN 37087-1344
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19598
TN
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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