Goodlettsville Primary Care LLC
NPI #1053353771 in Goodlettsville, Tennessee
Provider Information
- NPI Number
- 1053353771
- Entity Type
- Organization
- Organization Name
- Goodlettsville Primary Care LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 11, 2006
- Last Updated
- Aug 29, 2007
Practice Location
- Address
- 318 NORTHCREEK BLVD
- Address 2
- SUITE 200
- City
- Goodlettsville
- State
- Tennessee
- ZIP Code
- 37072-1934
- Phone
- (615) 855-0437
Authorized Official
- Name
- CHUCK LOCKE
- Title
- VP
- Phone
- (615) 373-7604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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