Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mobile Medical Clinic PLLC

Organization Physician Assistant · NPI 1275567125

Mobile Medical Clinic PLLC is a Physician Assistant in Lebanon, Tennessee. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

404 Castle Heights Ave N Ste E
Lebanon, TN 37087-1511
Phone: (615) 449-7002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1275567125
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Dean — Owner · (615) 449-7002
NPI enumeratedJuly 10, 2006
Last updated in NPPESApril 17, 2008
Mailing addressPo Box 158, Lebanon, TN 37088-0158

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