Individual
MRS. DESTINY H LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
155 HEALTH WAY, SUITE 2, MC MINNVILLE, TN 37110-2658
(931) 473-4214
(931) 473-0666
Mailing address
155 HEALTH WAY, SUITE 2, MC MINNVILLE, TN 37110-2658
(931) 473-4214
(931) 473-0666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APN0000007194
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3719062
—
TN
05
—
3732438
—
TN
05
—
3904079
—
TN
01
—
4167862
BCBST
—
Enumeration date
06/07/2006
Last updated
05/22/2008
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