Organization
LAKE COUNTY PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL WINFRED GUESS MEDICAL DOCTOR (MEDICAL DIRECTOR)
(731) 253-6690
Entity
Organization
Contact information
Practice address
710 CARL PERKINS PKWY, TIPTONVILLE, TN 38079-1678
(731) 253-6690
(731) 253-6692
Mailing address
710 CARL PERKINS PKWY, TIPTONVILLE, TN 38079-1678
(731) 253-6690
(731) 253-6692
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
17394
TN
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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