Provider Demographics
NPI:1437554540
Name:ON TARGET MEDICAL CLINIC INC
Entity Type:Organization
Organization Name:ON TARGET MEDICAL CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-962-7800
Mailing Address - Street 1:490 SAINT ANDREWS DR
Mailing Address - Street 2:STE 106
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-6578
Mailing Address - Country:US
Mailing Address - Phone:615-962-7800
Mailing Address - Fax:615-962-7879
Practice Address - Street 1:490 SAINT ANDREWS DR
Practice Address - Street 2:STE 106
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-6578
Practice Address - Country:US
Practice Address - Phone:615-962-7800
Practice Address - Fax:615-962-7879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-31
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty