Organization
PROVIDE LOCUMS HEALTHCARE PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER LITCHFIELD MD (MGR)
(423) 426-4188
Entity
Organization
Contact information
Practice address
41 PEABODY ST, NASHVILLE, TN 37210-2125
(423) 426-4188
Mailing address
41 PEABODY ST, NASHVILLE, TN 37210-2125
(423) 426-4188
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
30027
AL
Other
Enumeration date
08/23/2011
Last updated
09/10/2020
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