| Organization Name: | AFC PHYSICIANS OF TENNESSEE, PC |
| NPI Number: | 1639508666 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDY JOHANSEN (PRESIDENT) |
| Mailing Address: | 1763 Madison Street Commons Clarksville |
| State: | TN US |
| Postal Code: | 37043 |
| Phone Number: | 9312788000 |
| Fax Number: | 9312788004 |
| NPI Enumeration Date: | 11/12/2013 |
| NPI Last Update Date: | 12/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |