Gordonsville Clinic

NPI 1033310206 - Family Medicine - 207Q00000X

NPI Details
NPI 1033310206
Enumeration Date 05/29/2007
Last Updated 02/03/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANGELA S ANGELA
Position OWNER
Phone (615) 683-1070
Fax (615) 683-1079
Practice Location
126 JMZ DR
GORDONSVILLE TN, 38563-2152, US
Phone (615) 683-1070
Fax (615) 683-1079
Business Location
126 JMZ DR
GORDONSVILLE TN, 38563-2152, US
Phone (615) 683-1070
Fax (615) 683-1079
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number 35031
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According to our database, Gordonsville Clinic NPI is 1033310206, taxonomy code is 207Q00000X and license number is 35031, license state is located at Tennessee. Gordonsville Clinic physically located at 126 Jmz Dr, Gordonsville TN, 38563-2152. NPI Number 1033115704 has the healthcare provider type.

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1033310206 NPI number is provided on an as is basis without warranty of any kind. 1033310206 is maintained by the National Plan & Provider Enumeration System. The contents of Gordonsville Clinic are for informational purposes only.