NPI | 1871856906 |
---|---|
Doing Business As | WELSHWOOD CLINIC |
Doing Business As | WALLACE ROAD FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | BRIAN HAILE CEO 615-227-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2019-09-26 |