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Organization
WHITE HOUSE FAMILY PRACTICE LLC
Active
Organization
WHITE HOUSE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CAROL L MEDLEY NP (OWNER NURSE PRACTITIONER)
(615) 672-0604
Entity
Organization
Contact information
Practice address
2823 HIGHWAY 31 W, SUITE 200, WHITE HOUSE, TN 37188-5241
(615) 672-0604
(615) 672-0646
Mailing address
2823 HIGHWAY 31 W, SUITE 200, WHITE HOUSE, TN 37188-5241
(615) 672-0604
(615) 672-0646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN6776
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639104268
NPI
—
Enumeration date
06/18/2007
Last updated
08/22/2020
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