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Organization

GADSDEN REGIONAL PRIMARY CARE LLC

Active
Parent organization
GADSDEN REGIONAL PRIMARY CARE LLC
Other names
East Gadsden Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
GADSDEN REGIONAL PRIMARY CARE LLC
Authorized official
DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7626
Entity
Organization

Contact information

Practice address
1026 GOODYEAR AVE, STE. 100, GADSDEN, AL 35903-1102
(256) 492-8250
(256) 492-8271
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/13/2006
Last updated
11/16/2007
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