The Grove Primary Care Clinic LLC
NPI #1285014241 in Scotts Hill, Tennessee
Provider Information
- NPI Number
- 1285014241
- Entity Type
- Organization
- Organization Name
- The Grove Primary Care Clinic LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jun 4, 2015
- Last Updated
- Jun 4, 2015
Practice Location
- Address
- 9458 HIGHWAY 100
- City
- Scotts Hill
- State
- Tennessee
- ZIP Code
- 38374
- Phone
- (731) 549-3010
Authorized Official
- Name
- MR. WILLAM J WYSOR
- Title
- PRESIDENT
- Phone
- (731) 983-0499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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