# CENTENNIAL PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOSPITAL CORP. LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265617674
- **Legal business name:** HOSPITAL CORP. LLC
- **Authorized official:** GARY DUNCAN (VICE PRESIDENT)
- **Authorized official phone:** (954) 767-5716

## Contact information

- **Practice address:** 1009 N LOCUST AVE, SUITE 1, LAWRENCEBURG, TN 38464-2706
- **Practice address phone:** (931) 762-0531
- **Practice address fax:** (931) 762-0998
- **Mailing address:** 1009 N LOCUST AVE, SUITE 1, LAWRENCEBURG, TN 38464-2706
- **Mailing address phone:** (931) 762-0531
- **Mailing address fax:** (931) 762-0998

## Taxonomy

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

## Other

- **Enumeration date:** 01/03/2008
- **Last updated:** 06/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3370233 | — | TN |