Healthcare Provider Details

I. General information

NPI: 1275868382
Provider Name (Legal Business Name): GOOD HEALTH ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2009
Last Update Date: 10/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 N HIGHLAND AVE
MURFREESBORO TN
37130-2461
US

IV. Provider business mailing address

625 N HIGHLAND AVE
MURFREESBORO TN
37130-2461
US

V. Phone/Fax

Practice location:
  • Phone: 615-904-8911
  • Fax: 615-907-3388
Mailing address:
  • Phone: 615-904-8911
  • Fax: 615-907-3388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD0000031764
License Number StateTN

VIII. Authorized Official

Name: MRS. REITA NIRANKARI AGARWAL
Title or Position: OWNER
Credential: MD
Phone: 615-904-8911