| NPI | 1841696192 |
|---|---|
| Other Name | MMC URGENT CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | LISA KAY PAGE Credentialing Manager 731-352-7907 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD15682) |
| 207Q00000X Family Medicine (Licence: TN MD23833) | |
| 208000000X Pediatrics (Licence: TN MD46412) | |
| 208600000X Surgery (Licence: TN MD45034) | |
| 363A00000X Physician Assistant (Licence: TN PA1262) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN6244) | |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2018-10-24 |