Centennial Primary Care LLC
Organization Active NPI Family Medicine Physician · Lawrenceburg, TN
NPI 1265617674 · NPPES record last updated Jun 2, 2008
Key facts
- NPI
- 1265617674
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CENTENNIAL PRIMARY CARE LLC
- Practice address
- 1009 N Locust Ave
Suite 1
Lawrenceburg, TN 38464-2706 - Phone
- (931) 762-0531
- Fax
- (931) 762-0998
- NPI assigned
- Jan 3, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- HOSPITAL CORP. LLC
Authorized official
- Name
- Gary Duncan
- Title
- Vice President
- Phone
- (954) 767-5716
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1009 N Locust Ave
Suite 1
Lawrenceburg, TN 38464-2706
Mailing address
1009 N Locust Ave
Suite 1
Lawrenceburg, TN 38464-2706
Phone (931) 762-0531
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3370233 | Medicaid | TN |
Other providers in Lawrenceburg, TN
- Joshua Larry Caperton
- Cardiology Specialty Care Tennessee, LLC
- Caris Healthcare
- Brian Carter
- Little Feather Jocelyn Castillo
- Melanie Amanda Chandrakasem
- Aleaha Chapman
- Doris Ann Chapman
- Jay M. Chapman
- Sonya Renee Chapman
All providers in Lawrenceburg, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.