Organization
YOUR GOOD HEALTH, LLC
Active
Other names
In Good Health
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE DAVIS APRN-BC (NURSE PRACTITIONER)
(423) 867-4969
Entity
Organization
Contact information
Practice address
1508 TOMBRAS AVE, EAST RIDGE, TN 37412-2720
(423) 867-4969
Mailing address
1508 TOMBRAS AVE, EAST RIDGE, TN 37412-2720
(423) 867-4969
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
APN0000007173
TN
Other
Enumeration date
04/26/2007
Last updated
08/27/2007
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