Provider Demographics
NPI:1467894840
Name:CONVENIENT CARE FAMILY MEDICINE
Entity Type:Organization
Organization Name:CONVENIENT CARE FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNHILL
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:931-269-7061
Mailing Address - Street 1:222 MONUMENT RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SUMMERTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38483-7728
Mailing Address - Country:US
Mailing Address - Phone:931-269-7061
Mailing Address - Fax:931-269-7065
Practice Address - Street 1:222 MONUMENT RD
Practice Address - Street 2:SUITE 104
Practice Address - City:SUMMERTOWN
Practice Address - State:TN
Practice Address - Zip Code:38483-7728
Practice Address - Country:US
Practice Address - Phone:931-269-7061
Practice Address - Fax:931-269-7065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-25
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty