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121 Old High School Rd Tellico Plains TN 37385-4965 | |
(423) 442-2622 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 121 Old High School Rd, Tellico Plains, Tennessee |
Authorized Official Name and Position | Barbara Levin (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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Po Box 278 Madisonville TN 37354-0278 Ph: (423) 442-2622 | 121 Old High School Rd Tellico Plains TN 37385-4965 Ph: (423) 442-2622 |
NPI Number | 1477823672 |
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Provider Enumeration Date | 01/04/2012 |
Last Update Date | 01/04/2012 |
Identifier | Type | State | Issuer |
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1477823672 | NPI | - | NPPES |