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Organization
OSTEOPATHIC CENTER
Active
Organization
OSTEOPATHIC CENTER
Active
Other names
Kristopher Goddard
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE M MONTROSS (COO)
(865) 693-8772
Entity
Organization
Contact information
Practice address
4320 BALL CAMP PIKE, KNOXVILLE, TN 37921-3312
(865) 693-8772
(865) 219-2848
Mailing address
4801 S UNIVERSITY DR, DAVIE, FL 33328-3839
(954) 634-4292
(954) 634-4293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO0000002081
TN
Other
Enumeration date
02/01/2014
Last updated
02/01/2014
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