| East Fork Medical Clinic, Llc | |
|
370 Doolittle Rd #4 Woodbury TN 37190-1129 | |
| (615) 855-7488 | |
| Not Available |
| Full Name | East Fork Medical Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 370 Doolittle Rd, Woodbury, Tennessee |
| Authorized Official Name and Position | Jack Dempsey Hydrick (MANAGING MEMBER) |
| Authorized Official Contact | 6158557488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Fork Medical Clinic, Llc 322 Savannah Rdg Murfreesboro TN 37127-8349 Ph: () - | East Fork Medical Clinic, Llc 370 Doolittle Rd #4 Woodbury TN 37190-1129 Ph: (615) 855-7488 |
| NPI Number | 1710351820 |
|---|---|
| Provider Enumeration Date | 11/30/2015 |
| Last Update Date | 11/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710351820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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