| Hermitage Primary Care LLC | |
|
5653 Frist Blvd Suite 236 Hermitage TN 37076-2062 | |
| (615) 232-8812 | |
| (615) 232-8815 |
| Full Name | Hermitage Primary Care LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5653 Frist Blvd, Hermitage, Tennessee |
| Authorized Official Name and Position | Gary Duncan (VP) |
| Authorized Official Contact | 6153737600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hermitage Primary Care LLC 5653 Frist Blvd Suite 236 Hermitage TN 37076-2062 Ph: (615) 232-8812 | Hermitage Primary Care LLC 5653 Frist Blvd Suite 236 Hermitage TN 37076-2062 Ph: (615) 232-8812 |
| NPI Number | 1023064540 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 11/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023064540 | NPI | - | NPPES |
| 3734821 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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