Organization
GOOD HEALTH FAMILY CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY VANATTA (CHIEF OPERATIONS OFFICER)
(615) 597-4432
Entity
Organization
Contact information
Practice address
414 E BROAD ST, SUITE C, SMITHVILLE, TN 37166
(615) 597-4432
(615) 597-4434
Mailing address
414 E BROAD ST, SUITE C, SMITHVILLE, TN 37166
(615) 597-4432
(615) 597-4434
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN12888
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33420181
—
TN
Enumeration date
01/11/2010
Last updated
06/10/2011
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