Organization Name: | DRESDEN FAMILY CLINIC LLC |
NPI Number: | 1306271994 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KUMAR P YOGESH (MD/OWNER) |
Mailing Address: | 130 E Locust St Dresden |
State: | TN US |
Postal Code: | 382251467 |
Phone Number: | 7313643196 |
Fax Number: | 7313645359 |
NPI Enumeration Date: | 09/13/2013 |
NPI Last Update Date: | 02/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |