Organization
MEDICAL ARTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAIN P HARRIS (OWNER)
(615) 384-7580
Entity
Organization
Contact information
Practice address
205 5TH AVE E, SPRINGFIELD, TN 37172-2435
(615) 384-7580
Mailing address
205 5TH AVE E, SPRINGFIELD, TN 37172-2435
(615) 384-7580
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
PA0000001058
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4331620
BCBS
TN
Enumeration date
08/21/2012
Last updated
08/21/2012
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