| NPI | 1073668653 |
|---|---|
| Doing Business As | ORANGE GROVE CENTER PRIMARY HEALTH CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | TERA ROBERTS CEO 423-493-2910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: TN 26723) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TN 8686) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: TN 13774) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2024-03-04 |