| Afc Physicians Of Tennessee, Pc | |
|
1763 Madison Street Commons Clarksville TN 37043 | |
| (931) 278-8000 | |
| (931) 278-8004 |
| Full Name | Afc Physicians Of Tennessee, Pc |
|---|---|
| Speciality | General Practice |
| Location | 1763 Madison Street Commons, Clarksville, Tennessee |
| Authorized Official Name and Position | Randy Johansen (PRESIDENT) |
| Authorized Official Contact | 0542121012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Afc Physicians Of Tennessee, Pc 3700 Cahaba Beach Rd Birmingham AL 35242-5225 Ph: (205) 403-8902 | Afc Physicians Of Tennessee, Pc 1763 Madison Street Commons Clarksville TN 37043 Ph: (931) 278-8000 |
| NPI Number | 1639508666 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 06/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639508666 | NPI | - | NPPES |
| 103G702075 | Other | TN | MCR PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Tennessee) | Primary |
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