Organization
BROWNSVILLE MEDICAL CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA WHITE (ADMINISTRATOR)
(731) 772-4199
Entity
Organization
Contact information
Practice address
2565 N WASHINGTON AVE, BROWNSVILLE, TN 38012-1610
(731) 772-4199
(731) 772-7703
Mailing address
2565 N WASHINGTON AVE, BROWNSVILLE, TN 38012-1610
(731) 772-4199
(731) 772-7703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD8895
TN
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3156270
—
TN
05
—
3156276
—
TN
05
—
3156277
—
TN
05
—
3386790
—
TN
Enumeration date
11/28/2006
Last updated
07/09/2010
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