Organization Name: | ALLIED MEDICAL CLINIC, INC. |
NPI Number: | 1851595417 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVE MCGREW (BUSINESS MANGER) |
Mailing Address: | 1140 Topside Rd Louisville |
State: | TN US |
Postal Code: | 377775562 |
Phone Number: | 8006846614 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |