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Organization

LEBANON GENERAL PRACTICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DAWN JOHNSON (MEDICAL BILLING)
(615) 784-4621
Entity
Organization

Contact information

Practice address
228 W MAIN ST STE B, LEBANON, TN 37087-2681
(615) 784-4621
(615) 784-4623
Mailing address
228 W MAIN ST STE B, LEBANON, TN 37087-2681
(615) 784-4621
(615) 784-4623

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3832478
TN
Enumeration date
03/21/2007
Last updated
03/18/2020
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