Organization
FAITH FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WAYNE HENDERSON M.D. (MEDICAL DIRECTOR)
(615) 341-0808
Entity
Organization
Contact information
Practice address
326 21ST AVE N, NASHVILLE, TN 37203-1846
(615) 341-0808
(615) 341-0881
Mailing address
326 21ST AVE N, NASHVILLE, TN 37203-1846
(615) 341-0808
(615) 341-0881
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
4202
TN
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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