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NPI Code Detail

MEDICARE: GOOD HEALTH CLINIC PROFESSIONAL LIMITED LIABILITY COMPANY

MEDICARE: GOOD HEALTH CLINIC PROFESSIONAL LIMITED LIABILITY COMPANY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center
2363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1750959318
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOOD HEALTH CLINIC PROFESSIONAL LIMITED LIABILITY COMPANY
Provider Business Mailing Address
First Line : 515 BILLY GOAT HILL RD
Second Line :
City : WINCHESTER
State : TN
Zip : 37398-4951
Country : US
Telephone Number : 931-213-3976
Fax Number :
Provider Business Practice Location Address
First Line : 199 W PETTY LN
Second Line :
City : WINCHESTER
State : TN
Zip : 37398-1128
Country : US
Telephone Number : 931-213-3976
Fax Number : 931-281-3976
Authorized Official
Title or Position : NP
Name : KATIE GOODMAN HILL
Credential : FNP-BC
Telephone Number : 931-691-0399
Provider Enumeration Date : 06/11/2021
Last Update Date : 10/21/2021

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Directions to “GOOD HEALTH CLINIC PROFESSIONAL LIMITED LIABILITY COMPANY ” Practice Location

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