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Organization
WHITE BLUFF FAMILY HEALTH CARE CENTER INC
Active
Organization
WHITE BLUFF FAMILY HEALTH CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN SIMON FNP (OWNER)
(615) 797-3646
Entity
Organization
Contact information
Practice address
2004 HIGHWAY 47 NORTH, WHITE BLUFF, TN 37187
(615) 797-3646
(615) 797-4055
Mailing address
PO BOX 624, GOODLETTSVILLE, TN 37070-0624
(615) 797-3646
(615) 797-4055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
93835
TN
Other
Enumeration date
09/15/2006
Last updated
02/14/2008
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