Longevity Clinical Ltc Associates of Tennessee, PLLC
Longevity Clinical Ltc Associates of Tennessee, PLLC is a Family Medicine Physician in Red Boiling Springs, Tennessee. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 4
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
309 Main StRed Boiling Springs, TN 37150-2149
Phone: (615) 699-2238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Family Medicine) Physician (primary) | Taxonomy 207QG0300X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X |
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X |
Record details
| NPI number | 1326878299 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Diane Vincur — Practice Manager · (561) 815-2427 |
| NPI enumerated | August 6, 2024 |
| Last updated in NPPES | August 6, 2024 |
| Certification date | August 6, 2024 |
| Mailing address | 11780 Us Highway 1 Ste N107, North Palm Beach, FL 33408-3007 |
Other providers in Red Boiling Springs
-
3 Ple O Llpc
165 Dale St, Red Boiling Springs, TN 37150-2102 · (615) 699-3169