# IMPACT HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Impact Health LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629813597
- **Authorized official:** FREEMAN LEE CROWDER IV (SOLE MANAGER)
- **Authorized official phone:** (931) 445-5028

## Contact information

- **Practice address:** 504 W MAIN ST, BYRDSTOWN, TN 38549-2405
- **Practice address phone:** (931) 397-4802
- **Mailing address:** 504 W MAIN ST, BYRDSTOWN, TN 38549-2405
- **Mailing address phone:** (931) 397-4802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2024
- **Last updated:** 07/01/2024