Provider Demographics
NPI:1831323740
Name:HAYWOOD AFTER-HOURS CLINIC
Entity Type:Organization
Organization Name:HAYWOOD AFTER-HOURS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:NESMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RHIT
Authorized Official - Phone:615-778-0509
Mailing Address - Street 1:321 BILLINGSLY CT STE 9
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6445
Mailing Address - Country:US
Mailing Address - Phone:615-778-0509
Mailing Address - Fax:615-778-0209
Practice Address - Street 1:2555 N WASHINGTON AVE STE 3
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38012-1610
Practice Address - Country:US
Practice Address - Phone:731-772-0008
Practice Address - Fax:731-772-8477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care