Tellico Junior High School Based Clinic | |
120 Old High School Rd Tellico Plains TN 37385-4922 | |
(423) 253-2250 | |
Not Available |
Full Name | Tellico Junior High School Based Clinic |
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Speciality | Family Medicine |
Location | 120 Old High School Rd, Tellico Plains, Tennessee |
Authorized Official Name and Position | Puspa Das (CEO) |
Authorized Official Contact | 4234427268 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tellico Junior High School Based Clinic Po Box 278 Madisonville TN 37354-0278 Ph: (423) 442-2622 | Tellico Junior High School Based Clinic 120 Old High School Rd Tellico Plains TN 37385-4922 Ph: (423) 253-2250 |
NPI Number | 1871841825 |
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Provider Enumeration Date | 08/23/2012 |
Last Update Date | 08/23/2012 |
Identifier | Type | State | Issuer |
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1871841825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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