| Navbrhlthcl | |
|
5722 Integrity Dr Bldg S-771 Navsupact Mid South Millington TN 38054-5028 | |
| (901) 874-5471 | |
| Not Available |
| Full Name | Navbrhlthcl |
|---|---|
| Speciality | Clinic/center |
| Location | 5722 Integrity Dr, Millington, Tennessee |
| Authorized Official Name and Position | Paul W Gerhardt (OFFICER IN CHARGE) |
| Authorized Official Contact | 9018746100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Navbrhlthcl 5722 Integrity Dr Bldg S-771 Navsupact Mid South Millington TN 38054-5028 Ph: (901) 874-5471 | Navbrhlthcl 5722 Integrity Dr Bldg S-771 Navsupact Mid South Millington TN 38054-5028 Ph: (901) 874-5471 |
| NPI Number | 1295761476 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295761476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DS 2106 (Tennessee) | Primary |
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