Provider Demographics
NPI:1093809956
Name:ADVANCED CARE INTERNAL MEDICINE PLLC
Entity Type:Organization
Organization Name:ADVANCED CARE INTERNAL MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CETIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEKIMOGLU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-915-6570
Mailing Address - Street 1:455 N CHANCERY ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-2049
Mailing Address - Country:US
Mailing Address - Phone:931-474-8888
Mailing Address - Fax:931-474-8889
Practice Address - Street 1:455 N CHANCERY ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-2049
Practice Address - Country:US
Practice Address - Phone:931-474-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty