Organization
MANCHESTER FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRI MCGOWAN (OWNER)
(931) 728-4477
Entity
Organization
Contact information
Practice address
119 E FORT ST, MANCHESTER, TN 37355-1508
(931) 728-4477
(931) 680-9835
Mailing address
119 E FORT ST, MANCHESTER, TN 37355-1508
(931) 728-4477
(931) 680-9835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000025899
TN
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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