Manchester Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD0000025899 Issued in TN

Legal business name

MANCHESTER FAMILY PRACTICE

Practice address

119 E Fort St
Manchester, TN 37355-1508

Phone

(931) 728-4477

Fax

(931) 680-9835

NPI assigned

Aug 17, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lorri McGowan

Title

Owner

Phone

(931) 728-4477

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1568742963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E FORT ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373551508",
            "telephone_number": "931-728-4477",
            "fax_number": "931-680-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E FORT ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373551508",
            "telephone_number": "931-728-4477",
            "fax_number": "931-680-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "LORRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-728-4477",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000025899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Family Medicine and Wellness
• Manchester Care Clinic LLC
• Manchester Center for Rehabilitation and Healing LLC
• Manchester Eyecare LLC
• Manchester Family Healthcare
• Manchester Residential, LLC
• Manchester Surgical Assoc
• Manning Family Dentistry
• Charlie Dallas Manning IV, D.D.S.
• Lindsay Head Manning, DDS

• Family Medicine Physician in Manchester, TN
• Providers in Manchester, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.