Organization
GOODLETTSVILLE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK LOCKE (VP)
(615) 373-7604
Entity
Organization
Contact information
Practice address
318 NORTHCREEK BLVD, SUITE 200, GOODLETTSVILLE, TN 37072-1934
(615) 855-0437
Mailing address
318 NORTHCREEK BLVD, SUITE 200, GOODLETTSVILLE, TN 37072-1934
(615) 855-0437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
08/29/2007
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