Organization · Type 2 NPI

Petty Adult and Geriatric Care Clinic LLC

Clinic/Center · Lebanon, TN

NPI number 1457530560 Active

Practice location

1123 N Castle Heights Ave, Suite H
Lebanon, TN 37087-5724

Call (615) 443-2273 Map

Fax (615) 449-3111

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X11466 (TN)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1457530560

Petty Adult and Geriatric Care Clinic LLC's National Provider Identifier is 1457530560, issued on Oct 25, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lebanon, TN. The record was last updated on Oct 7, 2008.