North Willow Family Medicine LLC
NPI #1124111356 in Cookeville, Tennessee
Provider Information
- NPI Number
- 1124111356
- Entity Type
- Organization
- Organization Name
- North Willow Family Medicine LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 2, 2006
- Last Updated
- May 2, 2012
Practice Location
- Address
- 428 N WILLOW AVE
- City
- Cookeville
- State
- Tennessee
- ZIP Code
- 38501-2339
- Phone
- (931) 372-7788
Authorized Official
- Name
- DR. ERIC GREGORY FOX, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (931) 372-7788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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