Organization
STONECREST MEDICAL GROUP - FAMILY PRACTICE OF MURFREESBORO LLC
Active
Parent organization
HEALTHSERV ACQUISITION LLC
Other names
MidState Family Medicine and Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHSERV ACQUISITION LLC
Authorized official
CHUCK LOCKE (VICE PRESIDENT)
(615) 373-7604
Entity
Organization
Contact information
Practice address
2706 OLD FORT PARKWAY, SUITE E, MURFREESBORO, TN 37128
(615) 893-1230
(615) 893-1232
Mailing address
2706 OLD FORT PARKWAY, SUITE E, MURFREESBORO, TN 37128
(615) 893-1230
(615) 893-1232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370137
—
TN
Enumeration date
06/27/2007
Last updated
11/17/2007
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