Basic Information
| Provider Information | |||||||||
| NPI: | 1548258825 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TENNESSEE URGENT CARE ASSOCIATES, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 339 WHITE BRIDGE PIKE | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372093208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153566877 | ||||||||
| FaxNumber: | 6153568270 | ||||||||
| Practice Location | |||||||||
| Address1: | 339 WHITE BRIDGE PIKE | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372093208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153566877 | ||||||||
| FaxNumber: | 6153568270 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2005 | ||||||||
| LastUpdateDate: | 01/21/2008 | ||||||||
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| AuthorizedOfficialLastName: | CRANFIELD | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | L. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6158658500 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QU0200X | 99440 | TN | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.