Organization
MEDICAL GROUP - STONECREST FP INC
Active
Other names
Stonecrest Family Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK LOCKE (VP)
(615) 373-7604
Entity
Organization
Contact information
Practice address
300 STONECREST BLVD, SUITE 100, SMYRNA, TN 37167-5688
(615) 223-9502
(615) 223-9596
Mailing address
300 STONECREST BLVD, SUITE 100, SMYRNA, TN 37167-5688
(615) 223-9502
(615) 223-9596
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3723537
—
TN
Enumeration date
06/17/2006
Last updated
01/15/2008
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