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MEMORIAL DRIVE FAMILY PRACTICE NPI 1154318954


NPI Information

NPI: 1154318954
Provider Name: MEMORIAL DRIVE FAMILY PRACTICE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
306 LANDRUM PL
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 648-1920
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MEMORIAL DRIVE FAMILY PRACTICE is a family medicine in Clarksville, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEMORIAL DRIVE FAMILY PRACTICE NPI is 1154318954. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

306 LANDRUM PL
CLARKSVILLE, TN
ZIP 37043-648
Phone: (931) 648-1920
Fax: (931) 503-0346

The provider's authorized official is Stephan Schott .
The authorized official title is Physician and has the following contact phone number (931) 648-1920.

The enumeration date for this NPI number is 10/5/2005 and was last updated on 1/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineD0769TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13712519MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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