Provider First Line Business Practice Location Address:
GOODWIN CHILDREN'S CLINIC
Provider Second Line Business Practice Location Address:
157 WEST CHURCH ST
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38351-3835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
731-968-8182
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/16/2021