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NPI Code Detail

MEDICARE: MURFREESBORO MEDICAL CLINIC, P.A.

MEDICARE: MURFREESBORO MEDICAL CLINIC, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy

General Provider Information

NPI Number : 1912736968
Entity Type Code : Organization
Provider Name (Legal Business Name) : MURFREESBORO MEDICAL CLINIC, P.A.
Provider Business Mailing Address
First Line : 3325 SHORES RD
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-3616
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3325 SHORES RD
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-3616
Country : US
Telephone Number : 615-893-4480
Fax Number :
Authorized Official
Title or Position : CEO
Name : JOSEPH A PEAY
Credential :
Telephone Number : 615-893-4480
Provider Enumeration Date : 07/29/2024
Last Update Date : 07/29/2024

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