| Bradshaw Medical Clinic, Pc | |
|
1409 W. Baddour Pkwy Suite D Lebanon TN 37087-2599 | |
| (615) 444-4126 | |
| (615) 547-1825 |
| Full Name | Bradshaw Medical Clinic, Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 1409 W. Baddour Pkwy, Lebanon, Tennessee |
| Authorized Official Name and Position | Brenda Mcfarlin (CO-OWNER/VICE PRESIDENT) |
| Authorized Official Contact | 6154444126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradshaw Medical Clinic, Pc 1409 W. Baddour Pkwy Suite D Lebanon TN 37087-2599 Ph: (615) 444-4126 | Bradshaw Medical Clinic, Pc 1409 W. Baddour Pkwy Suite D Lebanon TN 37087-2599 Ph: (615) 444-4126 |
| NPI Number | 1255406450 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 03/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255406450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | TN4167 (Tennessee) | Primary |
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