| Tracut LLC | |
|
127 Crestview Park Dr 207 Dickson TN 37055-2855 | |
| (615) 327-2055 | |
| Not Available |
| Full Name | Tracut LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 127 Crestview Park Dr, Dickson, Tennessee |
| Authorized Official Name and Position | Mitchell Wiatrak (CHEIF MANAGER) |
| Authorized Official Contact | 6153272055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracut LLC 345 23rd Ave N 212 Nashville TN 37203-1513 Ph: (615) 327-2055 | Tracut LLC 127 Crestview Park Dr 207 Dickson TN 37055-2855 Ph: (615) 327-2055 |
| NPI Number | 1962753681 |
|---|---|
| Provider Enumeration Date | 09/20/2012 |
| Last Update Date | 09/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962753681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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