Unicoi County Family Practice

NPI 1407940067 - Clinic/Center - 261QP2300X

NPI Details
NPI 1407940067
Enumeration Date 10/03/2006
Last Updated 07/17/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DIANE COLE DIANE
Position PRESIDENT OF CORPORATION
Phone (423) 743-8400
Fax (423) 743-6888
Practice Location
108 GAY STREET
ERWIN TN, 37650, US
Phone (423) 743-8400
Fax (423) 743-6888
Business Location
P.O. BOX 759
ERWIN TN, 37650-0759, US
Phone (423) 743-8400
Fax (423) 743-6888
Toxanomy
Taxonomy Code 261QP2300X
License State Tennessee
License Number 25069
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According to our database, Unicoi County Family Practice NPI is 1407940067, taxonomy code is 261QP2300X and license number is 25069, license state is located at Tennessee. Unicoi County Family Practice physically located at 108 Gay Street, Erwin TN, 37650. NPI Number 1033115704 has the healthcare provider type.

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1407940067 NPI number is provided on an as is basis without warranty of any kind. 1407940067 is maintained by the National Plan & Provider Enumeration System. The contents of Unicoi County Family Practice are for informational purposes only.