Organization
TENNESSEE MATERNAL FETAL MEDICINE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOLA CLARK (ADMINISTRATOR)
(615) 284-8636
Entity
Organization
Contact information
Practice address
575 E BLEDSOE ST, GALLATIN, TN 37066-3054
(615) 230-1600
(615) 230-1630
Mailing address
300 20TH AVE N, SUITE 702, NASHVILLE, TN 37203-2131
(615) 284-8636
(615) 284-8637
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
TN
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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