# FAMILY HEALTH CARE OF HENDERSONVILLE, PLLC

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

## Provider details

- **NPI number:** 1699012716
- **Authorized official:** DR. ANTHONY V. DALLAS JR. MD (OWNER)
- **Authorized official phone:** (615) 826-3100

## Contact information

- **Practice address:** 211 INDIAN LAKE BLVD STE A, HENDERSONVILLE, TN 37075-6442
- **Practice address phone:** (615) 826-3100
- **Practice address fax:** (615) 447-1060
- **Mailing address:** 211 INDIAN LAKE BLVD STE A, HENDERSONVILLE, TN 37075-6442
- **Mailing address phone:** (615) 826-3100
- **Mailing address fax:** (615) 447-1060

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2013
- **Last updated:** 10/20/2023