Organization
NORTHFIELD FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA M PETTIT (OFFICE MANAGER/AO)
(615) 793-9900
Entity
Organization
Contact information
Practice address
6001 JACKSON SQUARE BLVD STE 100, LA VERGNE, TN 37086-2776
(615) 793-9900
(615) 939-9990
Mailing address
PO BOX 57, LA VERGNE, TN 37086-0057
(615) 793-9900
(615) 793-9990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/15/2008
Last updated
12/03/2019
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