Organization
HENDERSONVILLE OBGYN LLC
Active
Other names
Bluegrass Obstetrics and Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK LOCKE (VICE PRESIDENT)
(615) 373-7604
Entity
Organization
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, SUITE 341-C, HENDERSONVILLE, TN 37075-2379
(615) 826-1716
(615) 826-4841
Mailing address
353 NEW SHACKLE ISLAND RD, SUITE 341-C, HENDERSONVILLE, TN 37075-2379
(615) 826-1716
(615) 826-4841
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3723252
—
TN
Enumeration date
07/31/2007
Last updated
05/09/2008
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