# STONECREST MEDICAL GROUP - FAMILY PRACTICE OF MURFREESBORO LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTHSERV ACQUISITION LLC
- **Other names:** MidState Family Medicine and Urgent Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639376353
- **Legal business name:** HEALTHSERV ACQUISITION LLC
- **Authorized official:** CHUCK LOCKE (VICE PRESIDENT)
- **Authorized official phone:** (615) 373-7604

## Contact information

- **Practice address:** 2706 OLD FORT PARKWAY, SUITE E, MURFREESBORO, TN 37128
- **Practice address phone:** (615) 893-1230
- **Practice address fax:** (615) 893-1232
- **Mailing address:** 2706 OLD FORT PARKWAY, SUITE E, MURFREESBORO, TN 37128
- **Mailing address phone:** (615) 893-1230
- **Mailing address fax:** (615) 893-1232

## Taxonomy

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

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 11/17/2007
