# COMMUNITY QUICK CARE OF LAVERGNE, PC

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

## Provider details

- **NPI number:** 1194023366
- **Authorized official:** JERRY P. ELEDGE (CEO)
- **Authorized official phone:** (615) 943-5072

## Contact information

- **Practice address:** 5148A MURFREESBORO RD, LA VERGNE, TN 37086-2712
- **Practice address phone:** (615) 213-1203
- **Practice address fax:** (615) 527-0270
- **Mailing address:** PO BOX 2684, BRENTWOOD, TN 37024-2684
- **Mailing address phone:** (615) 943-5072
- **Mailing address fax:** (615) 527-0270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 339630 | TN | Yes |
| 261QU0200X | Urgent Care Clinic/Center | 339630 | TN | — |

## Other

- **Enumeration date:** 03/11/2011
- **Last updated:** 06/05/2012