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EAST FORK MEDICAL CLINIC, LLC
NPI 1710351820
Clinic/Center - Primary Care in Woodbury, TN

Active since November 30, 2015
370 DOOLITTLE RD, #4, WOODBURY, TN 37190(615) 855-7488 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Fork Medical Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST FORK MEDICAL CLINIC, LLC (NPI 1710351820) is a healthcare organization registered as a primary care in Woodbury, Tennessee and active in the NPI registry since November 2015. The organization lists Jack Dempsey Hydrick, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1710351820
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEAST FORK MEDICAL CLINIC, LLC
Location Address370 DOOLITTLE RD, #4Woodbury, TN 37190-1129
Mailing Address322 Savannah RdgMurfreesboro, TN 37127-8349
Phone(615) 855-7488
Organization SubpartNo
Authorized OfficialJack Dempsey HydrickManaging Member · (615) 855-7488
Enumeration DateNovember 30, 2015
✔ NPI 1710351820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
370 DOOLITTLE RD, Woodbury, TN 37190
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISE LLC
Clinic/Center (Medical Specialty)
370 DOOLITTLE RD
WOODBURY, TN 37190
Cannon County (877) 743-2646
DR. JAMES RILEY SPURLOCK III D.O.
Family Medicine
370 DOOLITTLE RD, SUITE 1
WOODBURY, TN 37190
Cannon County (615) 563-3245
LEBANON EYE ASSOCIATES
Ophthalmology
370 DOOLITTLE RD, SUITE 4
WOODBURY, TN 37190
Cannon County (615) 453-5155
JAMES R SPURLOCK III DO
Family Medicine
370 DOOLITTLE RD, SUITE 1
WOODBURY, TN 37190
Cannon County (615) 563-3245
ASHLEE DIONNE DIXON APRN
Nurse Practitioner
370 DOOLITTLE RD
WOODBURY, TN 37190
Cannon County (615) 563-3245

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Fork Medical Clinic, LLC's NPI number?

The NPI number for East Fork Medical Clinic, LLC is 1710351820. It was assigned to this organization in the NPPES registry on November 30, 2015.

Where is East Fork Medical Clinic, LLC located?

East Fork Medical Clinic, LLC is located at 370 Doolittle Rd #4, Woodbury, TN 37190. The listed phone number is (615) 855-7488.

What is East Fork Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for East Fork Medical Clinic, LLC was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.