Organization
TUNKHANNOCK CLINIC COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE T BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
5950 SR 6, TUNKHANNOCK, PA 18657-7905
(570) 996-1134
(570) 836-0136
Mailing address
4000 MERIDIAN BLVD, FRANKLIN, TN 37067-6325
(877) 309-5312
(615) 465-2877
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102583209 0001
—
PA
Enumeration date
03/30/2011
Last updated
10/18/2011
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