Whalio Doctors

NPI 1083019608

Community Quick Care

Organisation Non-Pharmacy Dispensing Site Columbia, TN

Practice location

Address
1412 Trotwood Avenue Suite 39, Columbia, TN 38401
Phone
(931) 490-0832
Fax
(931) 490-0834
Mailing address
1412 Trot Avenue Suite 39, Columbia, TN 38401

Authorised official

Name
Jerry Eledge
Title
Owner / Ceo
Phone
(931) 490-0832

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence 11494 (TN)

Registry record

NPI
1083019608
Entity type
Organization
NPI issued
24 Oct 2014
Record last updated
24 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.