Organization
MANCHESTER CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN SELVAGE FNP-C (FAMILY NURSE PRACTITIONER)
(931) 570-0244
Entity
Organization
Contact information
Practice address
1019 HILLSBORO BLVD, MANCHESTER, TN 37355-2029
(931) 800-4622
Mailing address
PO BOX 480, MANCHESTER, TN 37349-0480
(931) 800-4622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/04/2021
Last updated
02/08/2023
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