National Provider Identifier Database

FAMILY MEDICAL CLINIC OF TREZEVANT
Rural Health


Contact Information

FAMILY MEDICAL CLINIC OF TREZEVANT
45 HURT ST
TREZEVANT, TN38258-2505
Phone: 731-207-0323
Fax: 731-240-8065
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for FAMILY MEDICAL CLINIC OF TREZEVANT

NPI Number 1538703897
Legal business name
LBN
FAMILY MEDICAL CLINIC OF TREZEVANT
Authorized official DEBORAH LEGGETT - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/30/2019
Last updated 03/31/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: Q054230

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 FAMILY MEDICAL CLINIC OF TREZEVANT

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