The Fountain Center For Preventative Medicine, Llc | |
110 Glancy St # 107 Goodlettsville TN 37072-2326 | |
(615) 420-6884 | |
Not Available |
Full Name | The Fountain Center For Preventative Medicine, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 110 Glancy St # 107, Goodlettsville, Tennessee |
Authorized Official Name and Position | Angelina Johnson (NURSE PRACTITIONER/MEMBER) |
Authorized Official Contact | 6154206884 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Fountain Center For Preventative Medicine, Llc 110 Glancy St # 107 Goodlettsville TN 37072-2326 Ph: (615) 420-6884 | The Fountain Center For Preventative Medicine, Llc 110 Glancy St # 107 Goodlettsville TN 37072-2326 Ph: (615) 420-6884 |
NPI Number | 1821315219 |
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Provider Enumeration Date | 04/26/2010 |
Last Update Date | 04/26/2010 |
Identifier | Type | State | Issuer |
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1821315219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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