Organization
THE GROVE FAMILY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLORES MARIA THOMAS NP (OWNER)
(931) 268-1919
Entity
Organization
Contact information
Practice address
4028 S GRUNDY QUARLES HWY, GAINESBORO, TN 38562-5556
(931) 268-1919
(931) 268-1920
Mailing address
4028 S GRUNDY QUARLES HWY, GAINESBORO, TN 38562-5556
(931) 268-1919
(931) 268-1920
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q108319
—
TN
Enumeration date
02/21/2024
Last updated
11/14/2025
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