Medical Group - Stonecrest Fp INC

NPI #1437194263 in Smyrna, Tennessee

Provider Information

NPI Number: 1437194263
Entity Type: Organization
Organization Name: Medical Group - Stonecrest Fp INC
Primary Specialty: Family Medicine
Enumeration Date: Jun 17, 2006
Last Updated: Jan 15, 2008

Practice Location

Address: 300 STONECREST BLVD
Address 2: SUITE 100
City: Smyrna
State: Tennessee
ZIP Code: 37167-5688
Phone: (615) 223-9502

Authorized Official

Name: CHUCK LOCKE
Title: VP
Phone: (615) 373-7604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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