BANYAN FAMILY NIGHT CLINIC, LLC

CLEVELAND, TN
NPI1205318557
Entity TypeOrganization
Authorized ContactTAMMY WINGO-SALMOND
Provider/Owner
423-284-3157
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
Enumeration Date2018-09-04
Last Update Date2018-09-04
Business Address
BANYAN FAMILY NIGHT CLINIC, LLC
276B JAMES ASBURY DR NW
CLEVELAND, TN 37312-2984
Phone number: 423-464-5776
Mailing Address
BANYAN FAMILY NIGHT CLINIC, LLC
276B JAMES ASBURY DR NW
CLEVELAND, TN 37312-2984
Phone number: 423-464-5776
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