Organization
ABBA HANDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKESHA GOODWIN (OWNER)
(423) 413-0106
Entity
Organization
Contact information
Practice address
320 SEVEN SPRINGS WAY STE 250, BRENTWOOD, TN 37027-4572
(423) 413-0106
Mailing address
1795 ALYSHEBA WAY STE 7202, LEXINGTON, KY 40509-2481
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/11/2024
Last updated
07/09/2024
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