Petty Adult and Geriatric Care Clinic LLC
Petty Adult and Geriatric Care Clinic LLC is a Clinic/Center in Lebanon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.
- Licensed in
- TN
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1123 N Castle Heights Ave Ste HLebanon, TN 37087-5724
Phone: (615) 443-2273
Fax: (615) 449-3111
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 11466 (TN) |
|---|
Record details
| NPI number | 1457530560 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Petty — Organizer · (615) 443-2273 |
| NPI enumerated | October 25, 2007 |
| Last updated in NPPES | October 7, 2008 |
| Mailing address | 1123 N Castle Heights Ave, Suite H, Lebanon, TN 37087-5724 |
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