Organization
COLUMBIA MULTI SPECIALTY CLINIC PLLC
Active
Other names
CMSMC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. INDU BALI MD (CEO)
(931) 388-9388
Entity
Organization
Contact information
Practice address
1394 HATCHER LN, SAME, COLUMBIA, TN 38401-3586
(931) 388-9388
(931) 388-9808
Mailing address
1394 HATCHER LN, SUITE A, COLUMBIA, TN 38401-3586
(931) 388-9388
(931) 388-9808
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
TN LIC # 31656
TN
207QA0505X
Adult Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4059771
—
TN
Enumeration date
11/30/2006
Last updated
03/07/2023
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