Organization
GAINESVILLE PHYSICIANS LLC
Active
Parent organization
GAINESVILLE PHYSICIANS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GAINESVILLE PHYSICIANS LLC
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization
Contact information
Practice address
6400 W NEWBERRY RD STE 202, GAINESVILLE, FL 32605-6611
(352) 331-5310
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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