| Clarksville Health System Gp | |
|
1771 Madison St Clarksville TN 37043-4990 | |
| (931) 552-6622 | |
| (931) 551-1027 |
| Full Name | Clarksville Health System Gp |
|---|---|
| Speciality | Anesthesiology |
| Location | 1771 Madison St, Clarksville, Tennessee |
| Authorized Official Name and Position | Rebecca Hurley (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 2144733993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarksville Health System Gp Po Box 403765 Atlanta GA 30384-3765 Ph: (931) 552-6622 | Clarksville Health System Gp 1771 Madison St Clarksville TN 37043-4990 Ph: (931) 552-6622 |
| NPI Number | 1003823097 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003823097 | NPI | - | NPPES |
| 1003823097 | Medicaid | TN |
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