Tlc Primary Care LLC

NPI #1659780005 in Ooltewah, Tennessee

Provider Information

NPI Number
1659780005
Entity Type
Organization
Organization Name
Tlc Primary Care LLC
Primary Specialty
Specialist
Enumeration Date
Aug 11, 2014
Last Updated
Aug 11, 2014

Practice Location

Address
9457 DAVID SMITH LN
Address 2
SUITE 105
ZIP Code
37363-7292
Phone
(423) 362-7600

Authorized Official

Name
PROF. DONNA R DUFF, NP
Title
SOLE PROPRIETOR
Phone
(423) 362-7600

Specialties & Taxonomy Codes

Specialty
Specialist
Nurse Practitioner - Primary CarePrimary Care

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