Healthcare Provider Details

I. General information

NPI: 1184944407
Provider Name (Legal Business Name): DOCTORS URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2010
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3163 S CHURCH ST SUITE B
MURFREESBORO TN
37127-7174
US

IV. Provider business mailing address

PO BOX 331648
MURFREESBORO TN
37133-1648
US

V. Phone/Fax

Practice location:
  • Phone: 813-486-6558
  • Fax:
Mailing address:
  • Phone: 615-624-6643
  • Fax: 615-900-1621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number42730
License Number StateTN

VIII. Authorized Official

Name: MARTIN NWABUNIKE NWOSU
Title or Position: PHYSICIAN
Credential: MD
Phone: 615-624-6643