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Main Street Family Practice

Main Street Family Practice is a health care provider in Bulls Gap, TN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 113 N Main St, Bulls Gap, TN 37711-4735, US
Practice Location Phone423-393-4212
Practice Location Fax423-393-4257
Legal Business NameMAIN STREET FAMILY PRACTICE
NPI ?1568706828
Entity TypeOrganization
Enumeration Date ? Nov 26, 2012
Last Update Date ? Nov 26, 2012
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Main Street Family Practice

SpecialtySpecializationLicenseLicense State
Nurse PractitionerFamily 12848Tennessee

official-icon Authorized Official of Main Street Family Practice

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Main Street Family Practice's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Michelle D Cate (NP)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number423-393-4212