Main Street Family Practice is a health care provider in Bulls Gap, TN. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||113 N Main St, Bulls Gap, TN 37711-4735, US|
|Practice Location Phone||423-393-4212|
|Practice Location Fax||423-393-4257|
|Legal Business Name||MAIN STREET FAMILY PRACTICE|
|Enumeration Date ?||Nov 26, 2012|
|Last Update Date ?||Nov 26, 2012|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Nurse Practitioner||Physician Assistants & Advanced Practice Nursing Providers||Family||12848||Tennessee|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Main Street Family Practice's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Michelle D Cate (NP)|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||423-393-4212|