The Grove Primary Care Clinic LLC

NPI #1639345952 in Henderson, Tennessee

Provider Information

NPI Number
1639345952
Entity Type
Organization
Organization Name
The Grove Primary Care Clinic LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
May 6, 2008
Last Updated
Sep 10, 2019

Practice Location

Address
541 W PARK PL
Address 2
SUITE C
ZIP Code
38340-2027
Phone
(731) 983-0499

Authorized Official

Name
JODY WYSOR
Title
OWNER
Phone
(731) 983-0499

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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