Main Street Family Practice

NPI #1568706828 in Bulls Gap, Tennessee

Provider Information

NPI Number
1568706828
Entity Type
Organization
Organization Name
Main Street Family Practice
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Nov 26, 2012
Last Updated
Nov 26, 2012

Practice Location

Address
113 N MAIN ST
ZIP Code
37711-4735
Phone
(423) 393-4212

Authorized Official

Name
MICHELLE D CATE, NP
Title
OWNER
Phone
(423) 393-4212

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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