Organization
NORTH WILLOW FAMILY MEDICINE LLC
Active
Other names
North Willow Family Medicine LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC GREGORY FOX M.D. (MEDICAL DIRECTOR)
(931) 372-7788
Entity
Organization
Contact information
Practice address
428 N WILLOW AVE, COOKEVILLE, TN 38501-2339
(931) 372-7788
(031) 372-7799
Mailing address
428 N WILLOW AVE, COOKEVILLE, TN 38501-2339
(931) 372-7788
(031) 372-7799
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3883239
—
TN
01
—
4071388
BCBS
TN
Enumeration date
10/02/2006
Last updated
05/02/2012
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