Wartrace Family Practice LLC

Organization Active NPI Family Medicine Physician · Wartrace, TN

NPI 1952561979 · NPPES record last updated Apr 21, 2009

Key facts

NPI
1952561979
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
MD0000029483 (TN)
Legal business name
WARTRACE FAMILY PRACTICE LLC
Practice address
507 Blackman Blvd W
Wartrace, TN 37183-2210
Phone
(931) 389-0600
Fax
(931) 389-6781
NPI assigned
Jun 12, 2008
Organization subpart
No

Authorized official

Name
Mr. Rodney C Parsons
Title
Owner
Phone
(931) 685-2022

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X MD0000029483 TN Yes

Addresses

Primary practice location

507 Blackman Blvd W
Wartrace, TN 37183-2210

Mailing address

1612 N Main St
Suite B
Shelbyville, TN 37160-2391
Phone (931) 685-2022

Other providers in Wartrace, TN

All providers in Wartrace, TN · Family Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.