Provider Demographics
NPI:1225529621
Name:HOMETOWN FAMILY MEDICAL
Entity Type:Organization
Organization Name:HOMETOWN FAMILY MEDICAL
Other - Org Name:FAMILY URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-723-1705
Mailing Address - Street 1:909 HILLSBORO BLVD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37355-2025
Mailing Address - Country:US
Mailing Address - Phone:931-723-1705
Mailing Address - Fax:931-723-0861
Practice Address - Street 1:909 HILLSBORO BLVD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37355-2025
Practice Address - Country:US
Practice Address - Phone:931-723-1705
Practice Address - Fax:931-723-0861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TND0000001897207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty