# GOODLETTSVILLE PRIMARY CARE LLC

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

## Provider details

- **NPI number:** 1053353771
- **Authorized official:** CHUCK LOCKE (VP)
- **Authorized official phone:** (615) 373-7604

## Contact information

- **Practice address:** 318 NORTHCREEK BLVD, SUITE 200, GOODLETTSVILLE, TN 37072-1934
- **Practice address phone:** (615) 855-0437
- **Mailing address:** 318 NORTHCREEK BLVD, SUITE 200, GOODLETTSVILLE, TN 37072-1934
- **Mailing address phone:** (615) 855-0437

## Taxonomy

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

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 08/29/2007