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Organization

MEADOW SPRING PRIMARY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA BUHLS (OFFICE MANAGER)
(865) 475-4988
Entity
Organization

Contact information

Practice address
1526 MEADOW SPRING DR, JEFFERSON CITY, TN 37760
(865) 475-4988
(865) 475-4350
Mailing address
1526 MEADOW SPRING DR, JEFFERSON CITY, TN 37760-2041
(865) 475-4988
(865) 475-4350

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DO962
TN
207R00000X
Internal Medicine Physician
Primary
DO962
TN

Other

Enumeration date
11/28/2016
Last updated
08/10/2018
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