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Contact Information

MADISON FAMILY PRACTICE
1035 E OLD HICKORY BLVD
MADISON, TN37115-4160
 Phone: 615-868-6464
 Fax: 615-868-7986
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for MADISON FAMILY PRACTICE · (Female)

NPI Number 1366643074
Status Active
Credentials
Entity Individual
Enumeration date 05/30/2007
Last updated 07/12/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # MC023806
  • TN Medicaid 3706385
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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