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Organization

LINCOLN MEDICAL CENTER ORTHOPEDIC CLINIC

Active
Other names
Premier Orthopedic Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID R. GROCE (CFO)
(931) 438-1100
Entity
Organization

Contact information

Practice address
108 MEDICAL CENTER BLVD, SUITE 100, FAYETTEVILLE, TN 37334-2684
(931) 433-1102
(931) 433-0522
Mailing address
108 MEDICAL CENTER BLVD, SUITE 100, FAYETTEVILLE, TN 37334-2684
(931) 433-1102
(931) 433-0522

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
11/16/2010
Last updated
11/16/2010
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