Organization
ETMC PHYSICIAN GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C. PETROVICH (EVP, GENERAL COUNSEL)
(615) 296-3594
Entity
Organization
Contact information
Practice address
100 MUNICIPAL DR STE 300, GUN BARREL CITY, TX 75156-3703
(903) 713-1574
Mailing address
1 BURTON HILLS BLVD STE 250, NASHVILLE, TN 37215-6195
(615) 296-3594
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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