Provider First Line Business Practice Location Address:
414 E BROAD ST
Provider Second Line Business Practice Location Address:
GOOD HEALTH FMAILY CLINIC, INC.
Provider Business Practice Location Address City Name:
SMITHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37166
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-597-4432
Provider Business Practice Location Address Fax Number:
615-597-4434
Provider Enumeration Date:
02/04/2008