| Blue Mountain Medical Clinic, Pllc | |
|
1814 Cumberland Ave Middlesboro KY 40965 | |
| (606) 242-2519 | |
| (606) 242-2520 |
| Full Name | Blue Mountain Medical Clinic, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1814 Cumberland Ave, Middlesboro, Kentucky |
| Authorized Official Name and Position | Tina Poore (OFFICE MANAGER) |
| Authorized Official Contact | 6062422519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Mountain Medical Clinic, Pllc 1814 Cumberland Ave Middlesboro KY 40965-1229 Ph: (606) 242-2519 | Blue Mountain Medical Clinic, Pllc 1814 Cumberland Ave Middlesboro KY 40965 Ph: (606) 242-2519 |
| NPI Number | 1023538758 |
|---|---|
| Provider Enumeration Date | 06/23/2017 |
| Last Update Date | 06/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023538758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kentucky) | Primary |
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