| Goodlettsville Primary Care Llc | |
|
318 Northcreek Blvd Suite 200 Goodlettsville TN 37072-1934 | |
| (615) 855-0437 | |
| Not Available |
| Full Name | Goodlettsville Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 318 Northcreek Blvd, Goodlettsville, Tennessee |
| Authorized Official Name and Position | Chuck Locke (VP) |
| Authorized Official Contact | 6153737604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodlettsville Primary Care Llc 318 Northcreek Blvd Suite 200 Goodlettsville TN 37072-1934 Ph: (615) 855-0437 | Goodlettsville Primary Care Llc 318 Northcreek Blvd Suite 200 Goodlettsville TN 37072-1934 Ph: (615) 855-0437 |
| NPI Number | 1053353771 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 08/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053353771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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