NPI 1568742963

Manchester Family Practice

Organisation Family Medicine Physician Manchester, TN

Practice location

Address: 119 E Fort St, Manchester, TN 37355-1508
Phone: (931) 728-4477
Fax: (931) 680-9835

Authorised official

Name: Lorri McGowan
Title: Owner
Phone: (931) 728-4477

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD0000025899 (TN)

Other Family Medicine providers in Tennessee →

Registry record

NPI: 1568742963
Entity type: Organization
NPI issued: 17 Aug 2011
Record last updated: 17 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.