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Organization

COMMUNITY QUICK CARE OF LAVERGNE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERRY P. ELEDGE (CEO)
(615) 943-5072
Entity
Organization

Contact information

Practice address
5148A MURFREESBORO RD, LA VERGNE, TN 37086-2712
(615) 213-1203
(615) 527-0270
Mailing address
PO BOX 2684, BRENTWOOD, TN 37024-2684
(615) 943-5072
(615) 527-0270

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
339630
TN
261QU0200X
Urgent Care Clinic/Center
339630
TN

Other

Enumeration date
03/11/2011
Last updated
06/05/2012
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