Full Name | |
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Speciality | Family Medicine |
Location | 107 S Main St, Jellico, Tennessee |
Authorized Official Name and Position | W Mark Watt (CEO) |
Authorized Official Contact | 4237848492 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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107 S Main St P.o. Box 540 Jellico TN 37762-2154 Ph: (423) 784-8492 | 107 S Main St Jellico TN 37762 Ph: (423) 784-8492 |
NPI Number | 1770790065 |
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Provider Enumeration Date | 05/17/2007 |
Last Update Date | 10/23/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770790065 | NPI | - | NPPES |
Hcc Of Jellico Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 188 Hospital Ln, Jellico, TN 37762 Phone: 423-784-7252 | |
Charles H. Wilkens, M.d.,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 131 Hospital Ln, Jellico, TN 37762 Phone: 423-784-7269 |