| Blount Memorial Good Samaritan Clinic | |
|
116 Chantilly Ln Maryville TN 37803-6102 | |
| (865) 273-1616 | |
| (865) 273-1645 |
| Full Name | Blount Memorial Good Samaritan Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 116 Chantilly Ln, Maryville, Tennessee |
| Authorized Official Name and Position | Karen D Hobby (BMH MSO DIRECTOR) |
| Authorized Official Contact | 8652731750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blount Memorial Good Samaritan Clinic Po Box 5629 Maryville TN 37802-5629 Ph: (865) 273-1752 | Blount Memorial Good Samaritan Clinic 116 Chantilly Ln Maryville TN 37803-6102 Ph: (865) 273-1616 |
| NPI Number | 1356368310 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 09/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356368310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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