NPI | 1508162496 |
---|---|
Doing Business As | HOLLYWOOD AVENUE FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | MONICA BOWMAN President 615-920-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR MC1391) |
Enumeration Date | 2011-02-10 |
Last Update Date | 2023-02-09 |