Organization
VITALREGEN MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY GOODWIN FNP-C (OWNER)
(615) 633-5506
Entity
Organization
Contact information
Practice address
110 SANDERS FERRY RD STE 12, HENDERSONVILLE, TN 37075-3773
(615) 633-5506
Mailing address
110 SANDERS FERRY RD STE 12, HENDERSONVILLE, TN 37075-3773
(615) 633-5506
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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