Organization
ABUNDANT HEALTH CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT SMITH (REGISTERED AGENT)
(731) 618-7179
Entity
Organization
Contact information
Practice address
2145 OLD ASHLAND CITY RD, CLARKSVILLE, TN 37043-4906
(931) 346-1092
Mailing address
1497 HOLLIS RDG, CLARKSVILLE, TN 37043-1522
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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