Broadway Family Practice is a health care provider in Bean Station, TN. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||1179 Highway 11w, Bean Station, TN 37708, US|
|Practice Location Phone||(86-5) -993-1070|
|Practice Location Fax||865-993-1075|
|Legal Business Name||BROADWAY FAMILY PRACTICE|
|Enumeration Date ?||Jun 8, 2017|
|Last Update Date ?||Jun 8, 2017|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Primary Care|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Broadway 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||Mr. Shannon Shultz|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||865-993-1070|