| Organization Name: | GOOD HEALTH FAMILY CLINIC, INC |
| NPI Number: | 1376873521 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY VANATTA (CHIEF OPERATIONS OFFICER) |
| Mailing Address: | 414 E Broad St Suite C Smithville |
| State: | TN US |
| Postal Code: | 37166 |
| Phone Number: | 6155974432 |
| Fax Number: | 6155974434 |
| NPI Enumeration Date: | 01/11/2010 |
| NPI Last Update Date: | 06/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN12888 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |