Provider Demographics
NPI:1679952576
Name:DENISE TITTLE DBA BEST CARE CLINIC
Entity Type:Organization
Organization Name:DENISE TITTLE DBA BEST CARE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:R
Authorized Official - Last Name:TITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:931-919-4894
Mailing Address - Street 1:PO BOX 3104
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-3104
Mailing Address - Country:US
Mailing Address - Phone:931-919-4894
Mailing Address - Fax:931-919-4896
Practice Address - Street 1:1817A MADISON ST
Practice Address - Street 2:SUITE 3
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-2930
Practice Address - Country:US
Practice Address - Phone:931-919-4894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-26
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2233261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care