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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