Organization
TEN BROECK TENNESSEE PHYSICIANS GROUP INC
Active
Organization
TEN BROECK TENNESSEE PHYSICIANS GROUP INC
Active
Other names
Senior Renewal: Murphysboro
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA F GUY (DIRECTOR COMPLIANCE)
(931) 607-6513
Entity
Organization
Contact information
Practice address
2 S HOSPITAL DR, MURPHYSBORO, IL 62966-3333
(618) 684-3156
(618) 684-1024
Mailing address
603 MAIN ST, WINDERMERE, FL 34786-3548
(407) 876-2200
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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