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Gomd Pllc
Health Service Clinic/Center in Millington, Tennessee
NPI 1407392400

Gomd Pllc is a Health Service Clinic/Center based in Millington, TN and is specialized in Health Service. Gomd Pllc practices in Millington, TN. The NPI Number for Gomd Pllc is 1407392400 and holds a License No. (Tennessee).

The current practice location address for Gomd Pllc is 4772 Navy Rd, Millington, TN and can be reached out via phone at 516-637-7609 and via fax at 516-637-7609.

Location: 4772 Navy Rd, Millington, TN, 38053-1927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407392400
Provider Name
Gomd Pllc
Credential
Provider Entity Type
Organization
Address
4772 Navy Rd, Millington, TN, 38053-1927
Phone Number
516-637-7609
Fax Number
516-637-7609
Provider Enumeration Date
01/13/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q010957 05 TN
institution
Provider Business Practice Location Address Details
Address
4772 Navy Rd
City
Millington
State
Tennessee
Zip
38053-1927
Phone Number
516-637-7609
Fax Number
516-637-7609
person
Provider Business Mailing Address Details
Address
4772 Navy Rd
City
Millington
State
Tennessee
Zip
38053-1927
Phone Number
516-637-7609
Fax Number
516-637-7609
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
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Definition
Definition to come...
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