Provider Demographics
NPI:1265741847
Name:FAMILY CLINIC OF PARSONS, LLC
Entity type:Organization
Organization Name:FAMILY CLINIC OF PARSONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:INMAN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:731-847-7778
Mailing Address - Street 1:766 TENNESSEE AVE S
Mailing Address - Street 2:
Mailing Address - City:PARSONS
Mailing Address - State:TN
Mailing Address - Zip Code:38363-4607
Mailing Address - Country:US
Mailing Address - Phone:731-847-7778
Mailing Address - Fax:
Practice Address - Street 1:766 TENNESSEE AVE S
Practice Address - Street 2:
Practice Address - City:PARSONS
Practice Address - State:TN
Practice Address - Zip Code:38363-4607
Practice Address - Country:US
Practice Address - Phone:731-847-7778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care