Organization
COMMUNITY WELLNESS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TABITHA SMITH FNP-C (PRESIDENT/PROVIDER)
(615) 563-7515
Entity
Organization
Contact information
Practice address
322 S MCCRARY ST, WOODBURY, TN 37190-1441
(615) 563-7515
(615) 563-7393
Mailing address
322 S MCCRARY ST, WOODBURY, TN 37190-1441
(615) 563-7515
(615) 563-7393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15595
TN
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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