Organization
EAGLEVILLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS CARTER MD (OWNER)
(615) 274-6207
Entity
Organization
Contact information
Practice address
341 SOUTH MAIN ST., EAGLEVILLE, NE 37060
(615) 274-6207
Mailing address
341 SOUTH MAIN ST, EAGLEVILLE, TN 37060
(615) 274-6207
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
443845
—
TN
Enumeration date
03/06/2007
Last updated
02/27/2008
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