West Side Medical Clinic

NPI 1508297367 - Internal Medicine - 207R00000X

NPI Details
NPI 1508297367
Enumeration Date 12/04/2013
Last Updated 01/27/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DAVID M DAVID
Position OWNER
Phone (865) 862-4575
Fax (865) 909-9397
Practice Location
9957 KINGSTON PIKE
SUITE 105
KNOXVILLE TN, 37922-6908, US
Phone (865) 862-4575
Fax (865) 909-9397
Business Location
9957 KINGSTON PIKE
SUITE 105
KNOXVILLE TN, 37922-6908, US
Phone (865) 862-4575
Fax (865) 909-9397
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, West Side Medical Clinic NPI is 1508297367, taxonomy code is 207R00000X West Side Medical Clinic physically located at 9957 Kingston Pike, Knoxville TN, 37922-6908. NPI Number 1033115704 has the healthcare provider type.

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1508297367 NPI number is provided on an as is basis without warranty of any kind. 1508297367 is maintained by the National Plan & Provider Enumeration System. The contents of West Side Medical Clinic are for informational purposes only.