Organization
GRUNDY COUNTY HEALTH SERVICES, INC.
Active
Other names
Tracy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON BREA LANGLEY FNP-C (NURSE PRACTITIONER- PROVIDER)
(931) 592-4242
Entity
Organization
Contact information
Practice address
740 MAIN ST, TRACY CITY, TN 37387-4020
(931) 592-4242
(931) 592-4245
Mailing address
740 MAIN ST, PO BOX 1449, TRACY CITY, TN 37387-1449
(931) 592-4242
(931) 592-4245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750962528
NPI
TN
05
—
Q065726
—
TN
Enumeration date
06/16/2005
Last updated
04/01/2025
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