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300 Stonecrest Blvd Suite 110 Smyrna TN 37167-5688 | |
| (615) 223-9233 | |
| (615) 768-7833 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Stonecrest Blvd, Smyrna, 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 |
|---|---|
300 Stonecrest Blvd Suite 110 Smyrna TN 37167-5688 Ph: (615) 223-9233 | 300 Stonecrest Blvd Suite 110 Smyrna TN 37167-5688 Ph: (615) 223-9233 |
| NPI Number | 1184611501 |
|---|---|
| Provider Enumeration Date | 09/30/2005 |
| Last Update Date | 01/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184611501 | NPI | - | NPPES |
| 3722611 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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