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Organization

WAYSPRING CLINIC IA LLC

Active
Parent organization
WAYSPRING CLINIC IA LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAYSPRING CLINIC IA LLC
Authorized official
ALICE HEYWOOD (CHIEF LEGAL OFFICER)
(615) 345-3555
Entity
Organization

Contact information

Practice address
209 10TH AVE S STE 350, NASHVILLE, TN 37203-4166
(615) 345-3555
Mailing address
209 10TH AVE S STE 350, NASHVILLE, TN 37203-4166
(615) 345-3555

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
10/09/2023
Last updated
10/09/2023
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