The Fountain Center for Preventative Medicine, LLC
NPI #1821315219 in Goodlettsville, Tennessee
Provider Information
- NPI Number
- 1821315219
- Entity Type
- Organization
- Organization Name
- The Fountain Center for Preventative Medicine, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 26, 2010
- Last Updated
- Apr 26, 2010
Practice Location
- Address
- 110 GLANCY ST # 107
- City
- Goodlettsville
- State
- Tennessee
- ZIP Code
- 37072-2326
- Phone
- (615) 420-6884
Authorized Official
- Name
- ANGELINA JOHNSON, NP
- Title
- NURSE PRACTITIONER/MEMBER
- Phone
- (615) 420-6884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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