Organization
IMPACT HEALTH LLC
Active
Other names
Impact Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FREEMAN LEE CROWDER IV (SOLE MANAGER)
(931) 445-5028
Entity
Organization
Contact information
Practice address
504 W MAIN ST, BYRDSTOWN, TN 38549-2405
(931) 397-4802
Mailing address
504 W MAIN ST, BYRDSTOWN, TN 38549-2405
(931) 397-4802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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