| Clarksville Sportsmed & Wellness | |
|
2690 Madison Street Ste 130 Clarksville TN 37043-5458 | |
| (931) 645-6990 | |
| (931) 245-1720 |
| Full Name | Clarksville Sportsmed & Wellness |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 2690 Madison Street, Clarksville, Tennessee |
| Authorized Official Name and Position | Syed Ahmed Naseeruddin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9316456990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarksville Sportsmed & Wellness 2690 Madison St Ste 130 Clarksville TN 37043-5975 Ph: (931) 645-6990 | Clarksville Sportsmed & Wellness 2690 Madison Street Ste 130 Clarksville TN 37043-5458 Ph: (931) 645-6990 |
| NPI Number | 1588941942 |
|---|---|
| Provider Enumeration Date | 11/12/2011 |
| Last Update Date | 06/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588941942 | NPI | - | NPPES |
| 4324612 | Other | TN | BCBSTN |
| 1527840 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | MD45045 (Tennessee) | Primary |
| 363LF0000X | Nurse Practitioner - Family | APN15967 (Tennessee) | Secondary |
Clarksville Surgical Associates, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 647 Dunlop Lane, Suite 100, Clarksville, TN 37040 Phone: 931-551-8991 Fax: 931-551-4053 | |
Center For Pulmonary & Sleep Medicine, Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 298 Clear Sky Ct, Ste B, Clarksville, TN 37043 Phone: 931-542-2647 Fax: 931-542-2648 | |
Hopewell Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Kraft St, Clarksville, TN 37040 Phone: 931-645-7866 Fax: 931-645-7766 | |
Clarksville Physician Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 651 Dunlop Ln, Clarksville, TN 37040 Phone: 931-502-5080 Fax: 931-502-5081 | |
Actuatecare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1497 Hollis Rdg, Clarksville, TN 37043 Phone: 731-618-7179 | |
Matthew Walker Comprehensive Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Dover Rd, Clarksville, TN 37042 Phone: 931-920-5000 Fax: 615-320-6033 | |
Medical Direct Care, Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 190 Hatcher Lane, Suite B, Clarksville, TN 37040 Phone: 931-221-0902 Fax: 931-221-0602 |