Healthcare Provider Details

I. General information

NPI: 1508167099
Provider Name (Legal Business Name): WINCHESTER MEDICAL URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2010
Last Update Date: 11/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 COWAN HWY
WINCHESTER TN
37398-2627
US

IV. Provider business mailing address

2204 COWAN HWY
WINCHESTER TN
37398-2627
US

V. Phone/Fax

Practice location:
  • Phone: 931-967-1514
  • Fax: 931-962-4081
Mailing address:
  • Phone: 931-967-1514
  • Fax: 931-962-4081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM J FREEMAN
Title or Position: OWNER
Credential: M.D.
Phone: 931-967-1514