| Goodwin Childrens Clinic, Plc | |
|
9486 Highway 412 W Lexington TN 38351-5713 | |
| (731) 798-0868 | |
| Not Available |
| Full Name | Goodwin Childrens Clinic, Plc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9486 Highway 412 W, Lexington, Tennessee |
| Authorized Official Name and Position | Mary Katheryn Goodwin (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 7317980868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodwin Childrens Clinic, Plc Po Box 185 Lexington TN 38351-0185 Ph: () - | Goodwin Childrens Clinic, Plc 9486 Highway 412 W Lexington TN 38351-5713 Ph: (731) 798-0868 |
| NPI Number | 1548515638 |
|---|---|
| Provider Enumeration Date | 07/16/2012 |
| Last Update Date | 07/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548515638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 13401 (Tennessee) | Primary |
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