Organization
BRAXTON MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GEORGE TSIBU NP-C (C.E.O)
(615) 900-1659
Entity
Organization
Contact information
Practice address
1410 KENSINGTON SQUARE CT STE 103, MURFREESBORO, TN 37130-6902
(615) 900-1659
(615) 912-9997
Mailing address
1410 KENSINGTON SQUARE CT STE 103, MURFREESBORO, TN 37130-6902
(615) 900-1659
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q018514
—
TN
Enumeration date
10/05/2020
Last updated
11/28/2025
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