Organization
USAC-3 LLC
Active
Other names
USA Care Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASIF ALI (CREDENTIALING SPECIALIST)
(732) 703-7997
Entity
Organization
Contact information
Practice address
174 SAUNDERSVILLE RD, HENDERSONVILLE, TN 37075-8945
(917) 410-6933
(917) 768-0799
Mailing address
174 SAUNDERSVILLE RD, HENDERSONVILLE, TN 37075-8945
(917) 410-6933
(917) 768-0799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23572
TN
Other
Enumeration date
02/09/2017
Last updated
03/12/2017
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