Provider Demographics
NPI:1962866830
Name:TOTAL FAMILY CARE AND WALK-IN CLINIC, LLC
Entity Type:Organization
Organization Name:TOTAL FAMILY CARE AND WALK-IN CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHERWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:615-900-3301
Mailing Address - Street 1:452 N THOMPSON LN
Mailing Address - Street 2:SUITE E
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4310
Mailing Address - Country:US
Mailing Address - Phone:615-900-3301
Mailing Address - Fax:615-962-9328
Practice Address - Street 1:452 N THOMPSON LN
Practice Address - Street 2:SUITE E
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4310
Practice Address - Country:US
Practice Address - Phone:615-900-3301
Practice Address - Fax:615-962-9328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2413207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty