Organization
HOMETOWN HEALTHCARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRIE BECKHAM COOKSEY FNP-BC (OWNER)
(731) 400-4889
Entity
Organization
Contact information
Practice address
80 LEWIS ST, SAVANNAH, TN 38372-3109
(731) 400-4889
(731) 400-4890
Mailing address
80 LEWIS ST, SAVANNAH, TN 38372-3109
(731) 400-4889
(731) 400-4890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN12311
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032848
—
TN
Enumeration date
10/05/2017
Last updated
10/05/2023
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