MEDICARE: TN PERFECT WALK-IN CLINIC, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center	PA1014	TN

General Provider Information

NPI Number	:	1518283241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TN PERFECT WALK-IN CLINIC, PLLC

Provider Business Mailing Address
First Line	:	8078 HIGHWAY 100
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-4212
Country	:	US
Telephone Number	:	615-942-9810
Fax Number	:	615-942-9827

Provider Business Practice Location Address
First Line	:	8078 HIGHWAY 100
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-4212
Country	:	US
Telephone Number	:	615-942-9810
Fax Number	:	615-942-9827

Authorized Official
Title or Position	:	PROVIDER/OWNER
Name	:	HENGAMEH ARAB
Credential	:
Telephone Number	:	615-942-9810

Provider Enumeration Date	:	04/20/2010
Last Update Date	:	06/26/2013

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