# LINCOLN MEDICAL CENTER HOSPITALIST

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

## Provider details

- **NPI number:** 1902048010
- **Authorized official:** DAVID RAY GROCE (CFO)
- **Authorized official phone:** (931) 438-7471

## Contact information

- **Practice address:** 106 MEDICAL CENTER BLVD, FAYETTEVILLE, TN 37334-2684
- **Practice address phone:** (931) 438-7482
- **Practice address fax:** (931) 438-7447
- **Mailing address:** 106 MEDICAL CENTER BLVD, FAYETTEVILLE, TN 37334-2684
- **Mailing address phone:** (931) 438-7482
- **Mailing address fax:** (931) 438-7447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2009
- **Last updated:** 04/20/2010