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Organization
COMMUNITY QUICK CARE OF LAVERGNE, PC
Active
Organization
COMMUNITY QUICK CARE OF LAVERGNE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY P. ELEDGE (CEO)
(615) 943-5072
Entity
Organization
Contact information
Practice address
5148A MURFREESBORO RD, LA VERGNE, TN 37086-2712
(615) 213-1203
(615) 527-0270
Mailing address
PO BOX 2684, BRENTWOOD, TN 37024-2684
(615) 943-5072
(615) 527-0270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
339630
TN
261QU0200X
Urgent Care Clinic/Center
339630
TN
Other
Enumeration date
03/11/2011
Last updated
06/05/2012
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