Organization
THERESA BUCK'S URGENT CARE WALK IN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA BUCK (OWNER)
(931) 507-9355
Entity
Organization
Contact information
Practice address
1100 SMITHVILLE HWY STE 123, MC MINNVILLE, TN 37110-1665
(931) 507-9355
(931) 507-9355
Mailing address
1100 SMITHVILLE HWY STE 123, MC MINNVILLE, TN 37110-1665
(931) 507-9355
(931) 507-9355
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4067700
—
TN
Enumeration date
11/28/2006
Last updated
10/31/2007
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