| Mid Tn Clinic Pllc | |
|
3413 Nolensville Pike Nashville TN 37211-2909 | |
| (615) 569-4067 | |
| Not Available |
| Full Name | Mid Tn Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3413 Nolensville Pike, Nashville, Tennessee |
| Authorized Official Name and Position | Bola Gabriel (OWNER/CEO) |
| Authorized Official Contact | 6155694067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Tn Clinic Pllc 3413 Nolensville Pike Nashville TN 37211-2909 Ph: (615) 569-4067 | Mid Tn Clinic Pllc 3413 Nolensville Pike Nashville TN 37211-2909 Ph: (615) 569-4067 |
| NPI Number | 1003651563 |
|---|---|
| Provider Enumeration Date | 06/27/2024 |
| Last Update Date | 06/27/2024 |
| Medicare PECOS PAC ID | 7719415033 |
|---|---|
| Medicare Enrollment ID | O20250114000845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003651563 | NPI | - | NPPES |
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