Organization
COLUMBIA WOMEN'S CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA STALEY N.P. (OWNER/NURSE PRACTITIONER)
(931) 388-0203
Entity
Organization
Contact information
Practice address
820 HATCHER LN, COLUMBIA, TN 38401-3528
(931) 388-0203
(931) 388-0205
Mailing address
820 HATCHER LN, COLUMBIA, TN 38401-3528
(931) 388-0203
(931) 388-0205
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APN 16294
TN
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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