Organization
RED RIVER MEDICAL GROUP CORPORATION
Active
Other names
Red River Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JIGAR KANUBHAI SHAH (PROVIDER/CO-OWNER)
(931) 802-8056
Entity
Organization
Contact information
Practice address
1110 A TED CROZIER SR. BLVD, CLARKSVILLE, TN 37043-8912
(931) 538-3039
(931) 245-5484
Mailing address
1960 MADISON ST PMB 326, CLARKSVILLE, TN 37043-8063
(931) 538-3039
(931) 245-5484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/22/2023
Last updated
01/23/2025
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