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Organization

LINCOLN MEDICAL CENTER HOSPITALIST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID RAY GROCE (CFO)
(931) 438-7471
Entity
Organization

Contact information

Practice address
106 MEDICAL CENTER BLVD, FAYETTEVILLE, TN 37334-2684
(931) 438-7482
(931) 438-7447
Mailing address
106 MEDICAL CENTER BLVD, FAYETTEVILLE, TN 37334-2684
(931) 438-7482
(931) 438-7447

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
208D00000X
General Practice Physician
208M00000X
Hospitalist Physician
Primary

Other

Enumeration date
04/03/2009
Last updated
04/20/2010
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