# FAITH & FAMILY CARE CLINIC PLLC

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

## Provider details

- **NPI number:** 1639839392
- **Authorized official:** DONNA PRATER (OFFICE MANAGER)
- **Authorized official phone:** (731) 400-3783

## Contact information

- **Practice address:** 531 HIGHWAY 64 W, WAYNESBORO, TN 38485-2355
- **Practice address phone:** (931) 253-8146
- **Mailing address:** 531 HIGHWAY 64 W, WAYNESBORO, TN 38485-2355
- **Mailing address phone:** (931) 253-8146

## Taxonomy

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

## Other

- **Enumeration date:** 12/22/2021
- **Last updated:** 03/03/2022