Organization
HERMITAGE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY DUNCAN (VP)
(615) 373-7600
Entity
Organization
Contact information
Practice address
5653 FRIST BLVD, SUITE 236, HERMITAGE, TN 37076-2062
(615) 232-8812
(615) 232-8815
Mailing address
5653 FRIST BLVD, SUITE 236, HERMITAGE, TN 37076-2062
(615) 232-8812
(615) 232-8815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3734821
—
TN
Enumeration date
05/26/2006
Last updated
11/26/2012
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