# MANCHESTER FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568742963
- **Authorized official:** MRS. LORRI MCGOWAN (OWNER)
- **Authorized official phone:** (931) 728-4477

## Contact information

- **Practice address:** 119 E FORT ST, MANCHESTER, TN 37355-1508
- **Practice address phone:** (931) 728-4477
- **Practice address fax:** (931) 680-9835
- **Mailing address:** 119 E FORT ST, MANCHESTER, TN 37355-1508
- **Mailing address phone:** (931) 728-4477
- **Mailing address fax:** (931) 680-9835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD0000025899 | TN | Yes |

## Other

- **Enumeration date:** 08/17/2011
- **Last updated:** 08/17/2011