Healthcare Provider Details

I. General information

NPI: 1295769552
Provider Name (Legal Business Name): HILCREST CLINIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4891 EAST MAIN STREET
ERIN TN
37061
US

IV. Provider business mailing address

4891 E MAIN ST
ERIN TN
37061-4115
US

V. Phone/Fax

Practice location:
  • Phone: 931-289-4201
  • Fax: 931-289-4204
Mailing address:
  • Phone: 931-289-4201
  • Fax: 931-289-4204

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: MICHAEL ALLEN CARTER
Title or Position: OWNER
Credential:
Phone: 931-289-4201