Organization
DR. DAVID G. FLORENCE
Active
Other names
Medical Enterprises
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID G FLORENCE D.O. (OWNER)
(931) 728-5522
Entity
Organization
Contact information
Practice address
804 KEYLON ST, MANCHESTER, TN 37355-2414
(931) 728-5522
(931) 728-2247
Mailing address
PO BOX 749, MANCHESTER, TN 37349-0749
(931) 728-5522
(931) 728-2247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0604
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4039106
BCBS TN
TN
Enumeration date
01/11/2008
Last updated
06/23/2008
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