Organization
TLC PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. DONNA R DUFF NP (SOLE PROPRIETOR)
(423) 362-7600
Entity
Organization
Contact information
Practice address
9457 DAVID SMITH LN, SUITE 105, OOLTEWAH, TN 37363-7292
(423) 362-7600
(423) 238-6565
Mailing address
9457 DAVID SMITH LN, SUITE 105, OOLTEWAH, TN 37363-7292
(423) 362-7600
(423) 238-6565
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
48915
TN
363LP2300X
Primary Care Nurse Practitioner
APN0000005112
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
F0613640
TN
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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