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Broadway Family Practice

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.

physician-icon Basic Information

Practice Location 1179 Highway 11w, Bean Station, TN 37708, US
Practice Location Phone(86-5) -993-1070
Practice Location Fax865-993-1075
Legal Business NameBROADWAY FAMILY PRACTICE
NPI ?1578092938
Entity TypeOrganization
Enumeration Date ? Jun 8, 2017
Last Update Date ? Jun 8, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Broadway Family Practice

SpecialtySpecializationLicenseLicense State
Clinic/CenterPrimary Care

official-icon Authorized Official of Broadway Family Practice

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/PositionOWNER
Authorized Official Phone Number865-993-1070