# 100PLUS CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043013246
- **Authorized official:** DR. PETER MICHAEL LITCHFIELD (PHYSICIAN)
- **Authorized official phone:** (423) 426-4188

## Contact information

- **Practice address:** 3 BALA PLZ W STE 200, BALA CYNWYD, PA 19004-3478
- **Practice address phone:** (215) 292-6966
- **Mailing address:** PO BOX 23736, NASHVILLE, TN 37202-3736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2025
- **Last updated:** 10/28/2025