| Organization Name: | DOWNTOWN MEDICAL CLINIC PLLC |
| NPI Number: | 1255673380 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY N BOND (NURSE PRACTIONER) |
| Mailing Address: | 113 Hopkins Avenue Bells |
| State: | TN US |
| Postal Code: | 38006 |
| Phone Number: | 7316630951 |
| Fax Number: | 7316630941 |
| NPI Enumeration Date: | 03/27/2013 |
| NPI Last Update Date: | 05/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | AP0005413 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |