Organization
UNION CITY URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHAD ODLE (NURSE PRACTITIONER/OWNER)
(731) 885-8282
Entity
Organization
Contact information
Practice address
1229 S 1ST ST, UNION CITY, TN 38261-5014
(731) 885-8282
Mailing address
PO BOX 307, UNION CITY, TN 38281
(731) 885-8282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2564
TN
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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