Organization
BROWNSVILLE CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7626
Entity
Organization
Contact information
Practice address
2545 N WASHINGTON AVE, BROWNSVILLE, TN 38012-1610
(731) 772-4110
(731) 772-9428
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3711684
—
TN
01
—
4049835
BCBS
TN
Enumeration date
01/30/2006
Last updated
05/19/2011
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