National Provider Identifier Database

ADVANCED FAMILY MEDICAL CENTER
Rural Health


Contact Information

ADVANCED FAMILY MEDICAL CENTER
101 MAIN ST N
MIDDLETON, TN38052-3433
Phone: 731-472-2147
Fax: 731-472-2148
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ADVANCED FAMILY MEDICAL CENTER

NPI Number 1467957126
Legal business name
LBN
ADVANCED FAMILY MEDICAL CENTER
Authorized official WILLIAM CAICEDO - (NP)
Entity Organization
Organization subpart No
Enumeration date 03/26/2018
Last updated 02/08/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 17787
  • TN Medicaid: Q001019

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.

Reviews for ADVANCED FAMILY MEDICAL CENTER

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