Organization
21ST CENTURY HEALTH CARE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MARK SELLERS MD (OWNER)
(615) 217-7765
Entity
Organization
Contact information
Practice address
1019 N HIGHLAND AVE, MURFREESBORO, TN 37130-2450
(615) 217-7765
(615) 217-1513
Mailing address
1019 N HIGHLAND AVE, MURFREESBORO, TN 37130-2450
(615) 217-7765
(615) 217-1513
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
27422
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3726277
—
TN
Enumeration date
09/26/2007
Last updated
09/26/2007
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