Organization
EVERWELL MEDICAL ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KO SAN CHAN (MANAGER)
(615) 609-5763
Entity
Organization
Contact information
Practice address
2464 OLD FORT PKWY, MURFREESBORO, TN 37128-4163
(615) 410-3137
(615) 410-3427
Mailing address
2464 OLD FORT PKWY, MURFREESBORO, TN 37128-4163
(615) 410-3137
(615) 410-3427
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
01/25/2024
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