| Avatar Medical Inc. | |
|
241 E Watt St Alcoa TN 37701-2236 | |
| (865) 977-1818 | |
| (865) 977-1801 |
| Full Name | Avatar Medical Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 241 E Watt St, Alcoa, Tennessee |
| Authorized Official Name and Position | Joseph Duane Payne (OWNER) |
| Authorized Official Contact | 8659771818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avatar Medical Inc. 241 E Watt St Alcoa TN 37701-2236 Ph: (865) 977-1818 | Avatar Medical Inc. 241 E Watt St Alcoa TN 37701-2236 Ph: (865) 977-1818 |
| NPI Number | 1629271085 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629271085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34883 (Tennessee) | Primary |
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