Healthcare Provider Details

I. General information

NPI: 1326181272
Provider Name (Legal Business Name): FAMILY HEALTHCARE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 07/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 MAIN ST
NASHVILLE TN
37206-3609
US

IV. Provider business mailing address

905 MAIN ST
NASHVILLE TN
37206-3609
US

V. Phone/Fax

Practice location:
  • Phone: 615-227-3000
  • Fax: 615-227-5678
Mailing address:
  • Phone: 615-227-3000
  • Fax: 615-227-5678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number3704277
License Number StateTN

VIII. Authorized Official

Name: MARCEL YEMBA ELUHU
Title or Position: PRESIDENT
Credential: M.D.
Phone: 615-227-3000