Gtw, LLC
NPI #1104571405 in Huntingdon, Tennessee
Provider Information
- NPI Number
- 1104571405
- Entity Type
- Organization
- Organization Name
- Gtw, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 15, 2022
- Last Updated
- Apr 14, 2022
Practice Location
- Address
- 126 W PARIS ST
- City
- Huntingdon
- State
- Tennessee
- ZIP Code
- 38344-3608
- Phone
- (731) 535-3600
Authorized Official
- Name
- LISA KAY PAGE
- Title
- CREDENTIALING MANAGER
- Phone
- (731) 693-3465
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner - Family — Family |
| Clinic/Center |
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