Individual
MR. CENTRAS FORNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1645 FLORENCE RD, SAVANNAH, TN 38372-5210
(731) 926-4200
Mailing address
882 ALBERTON RD, LEXINGTON, TN 38351-7658
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
3214
TN
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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