Provider Demographics
NPI:1013782499
Name:MURFREESBORO MEDICAL CLINIC, P.A.
Entity Type:Organization
Organization Name:MURFREESBORO MEDICAL CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:GHARING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-867-7925
Mailing Address - Street 1:1272 GARRISON DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2598
Mailing Address - Country:US
Mailing Address - Phone:615-893-4480
Mailing Address - Fax:
Practice Address - Street 1:3325 SHORED ROAD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37127
Practice Address - Country:US
Practice Address - Phone:615-893-4480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MURFREESBORO MEDICAL CLINIC, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy