Organization
ALLARDT FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ROGER KOGER II FNP-C (MANAGING MEMBER)
(931) 752-9485
Entity
Organization
Contact information
Practice address
2009 MICHIGAN AVENUE, ALLARDT, TN 38504
(931) 303-6993
Mailing address
PO BOX 190, ALLARDT, TN 38504-0190
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
03/09/2021
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