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Organization
MAIN STREET FAMILY PRACTICE
Active
Organization
MAIN STREET FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE D CATE NP (OWNER)
(423) 393-4212
Entity
Organization
Contact information
Practice address
113 N MAIN ST, BULLS GAP, TN 37711-4735
(423) 393-4212
(423) 393-4257
Mailing address
113 N MAIN ST, BULLS GAP, TN 37711-4735
(423) 393-4212
(423) 393-4257
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12848
TN
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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