| Good Life Healthcare Solutions, Inc | |
|
9329 Middlebrook Pike Knoxville TN 37931-4704 | |
| (865) 333-1611 | |
| Not Available |
| Full Name | Good Life Healthcare Solutions, Inc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 9329 Middlebrook Pike, Knoxville, Tennessee |
| Authorized Official Name and Position | Debra Marie Hall - Fisher (PRESIDENT/ CEO) |
| Authorized Official Contact | 8653331611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Life Healthcare Solutions, Inc Po Box 30608 Knoxville TN 37930-0608 Ph: (865) 333-1611 | Good Life Healthcare Solutions, Inc 9329 Middlebrook Pike Knoxville TN 37931-4704 Ph: (865) 333-1611 |
| NPI Number | 1962924738 |
|---|---|
| Provider Enumeration Date | 07/12/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962924738 | NPI | - | NPPES |
| 1578665923 | Other | TN | RONALD W. SMITH, DDS |
| 1417052903 | Other | TN | DAVID B. LEE, DDS |
| 1003961780 | Other | TN | CHARLES DANIEL FISHER, DDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | DS0000004867 (Tennessee) | Primary |
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