Providence Family Medicine, Pllc

LBN: Providence Family Medicine, Pllc
Providence Family Medicine, Pllc is an health care organization with primary practice located at 1210 Briarville Rd Bldg E , Madison TN 37115-5136. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Providence Family Medicine, Pllc can be contacted via phone (615) 860-8182, or through Myles, Wendy G via phone (615) 860-8182.

Contact Information

Primary practice address
1210 Briarville Rd Bldg E Madison TN 37115-5136
Phone: (615) 860-8182
Fax: (615) 860-8184
Website:
Map and Directions
Authorized official contact:
Name: Myles, Wendy G RMA
Phone: (615) 860-8182

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 37235 Tennessee

Profile Details

NPI number 1376722546
LBN Legal business name Providence Family Medicine, Pllc
DBA Doing business as
Authorized official Myles, Wendy G RMA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2007
Last updated Oct 21st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376722546 NPPES
Other 1376722546 NPI GROUP

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