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Organization
HENDERSONVILLE OBGYN LLC
Active
Organization
HENDERSONVILLE OBGYN LLC
Active
Other names
Bluegrass Obstetrics and Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK LOCKE (VICE PRESIDENT)
(615) 373-7604
Entity
Organization
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, SUITE 341-C, HENDERSONVILLE, TN 37075-2379
(615) 826-1716
(615) 826-4841
Mailing address
353 NEW SHACKLE ISLAND RD, SUITE 341-C, HENDERSONVILLE, TN 37075-2379
(615) 826-1716
(615) 826-4841
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/31/2007
Last updated
05/09/2008
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