Organization
CENTENNIAL PRIMARY CARE LLC
Active
Parent organization
HOSPITAL CORP. LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL CORP. LLC
Authorized official
GARY DUNCAN (VICE PRESIDENT)
(954) 767-5716
Entity
Organization
Contact information
Practice address
1009 N LOCUST AVE, SUITE 1, LAWRENCEBURG, TN 38464-2706
(931) 762-0531
(931) 762-0998
Mailing address
1009 N LOCUST AVE, SUITE 1, LAWRENCEBURG, TN 38464-2706
(931) 762-0531
(931) 762-0998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370233
—
TN
Enumeration date
01/03/2008
Last updated
06/02/2008
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