Organization
RED RIVER MEDICAL GROUP CORPORATION
Active
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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