Organization
GROUP EFFORT OF TENNESSEE, LLC.
Active
Organization
GROUP EFFORT OF TENNESSEE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK SHAROD POTTER (DIRECTOR OF BUSINESS DEVELOPMENT)
(615) 995-4494
Entity
Organization
Contact information
Practice address
220 S HICKORY AVE, GALLATIN, TN 37066-3291
(615) 995-4494
Mailing address
PO BOX 1113, GALLATIN, TN 37066-1113
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
L00000001255
TN
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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