Clc Of Humboldt, Llc

Specialty details in registry · Humboldt, TN

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At a glance

2400 E Mitchell St, Humboldt, TN 38343-3036

NPPES record updated Jan 28, 2008. Public records can lag behind changes at a practice.

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Practice location

2400 E Mitchell St
Humboldt, TN 38343-3036
Professional details: NPI, taxonomy & registry record
NPI1275523854
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
314000000X
Enumeration date
Oct 25, 2005
Record updated
Jan 28, 2008
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

314000000X · Primary

License reported: 0000000088 TN

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2400 E Mitchell St
Humboldt, TN 38343-3036
Phone
(731) 784-5183
Fax
(731) 784-1562
Mailing address
2400 E MITCHELL ST
P.O. BOX 620
HUMBOLDT, TN 383433036
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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