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Organization

LONG HOLLOW FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN E BAITES JR. M.D. (PRESIDENT)
(615) 859-1440
Entity
Organization

Contact information

Practice address
450 PROFESSIONAL PARK DR, GOODLETTSVILLE, TN 37072-2180
(615) 859-1440
(615) 859-0145
Mailing address
PO BOX 710, GOODLETTSVILLE, TN 37070-0710
(615) 859-1440
(615) 859-0145

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/08/2007
Last updated
02/13/2025
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