Healthcare Provider Details

I. General information

NPI: 1609073535
Provider Name (Legal Business Name): COLUMBIA MEDICAL GROUP - THE FRIST CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 04/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 N MAIN ST
ASHLAND CITY TN
37015-1319
US

IV. Provider business mailing address

313 N MAIN ST
ASHLAND CITY TN
37015-1319
US

V. Phone/Fax

Practice location:
  • Phone: 615-792-1911
  • Fax: 615-792-0619
Mailing address:
  • Phone: 615-792-1911
  • Fax: 615-792-0619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GARY F DUNCAN
Title or Position: VP
Credential:
Phone: 615-373-7604