Organization
ADVANCED MEDICAL CONSULTANTS TWO L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE A BRAYFIELD (MEMBER)
(615) 907-9771
Entity
Organization
Contact information
Practice address
758 HIGHWAY 46 S SUITE A, DICKSON, TN 37055
(615) 907-9771
(615) 907-9545
Mailing address
758 HIGHWAY 46 S SUITE A, DICKSON, TN 37055
(615) 907-9771
(615) 907-9545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA011
TN
363A00000X
Physician Assistant
PA095
TN
363LF0000X
Family Nurse Practitioner
RN120814
TN
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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