3 PLE O LLPC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1508488800- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 165 DALE ST, RED BOILING SPRINGS, TN, 371502102
- Phone
- (615) 699-3169
Specialties & Taxonomies
Family Medicine
Primary