Organization
IMED URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBIR GUHA MD (SUPERVISING PHYSICIAN)
(615) 452-5901
Entity
Organization
Contact information
Practice address
940 MEMORY LN, SUITE 103, GALLATIN, TN 37066-7161
(615) 452-5901
(615) 250-7900
Mailing address
PO BOX 1075, GALLATIN, TN 37066-1075
(615) 452-5901
(615) 250-7900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD0000029196
TN
261QU0200X
Urgent Care Clinic/Center
Primary
MD0000029196
TN
Other
Enumeration date
05/18/2015
Last updated
05/19/2015
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