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3614 Unicoi Dr Unicoi TN 37692-6860 | |
(423) 743-7151 | |
(423) 743-7159 |
Full Name | |
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Speciality | Family Medicine |
Location | 3614 Unicoi Dr, Unicoi, Tennessee |
Authorized Official Name and Position | Jim S Pate (CHAIRMAN) |
Authorized Official Contact | 4237431202 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3614 Unicoi Dr Unicoi TN 37692-6860 Ph: (423) 743-7151 | 3614 Unicoi Dr Unicoi TN 37692-6860 Ph: (423) 743-7151 |
NPI Number | 1689890675 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689890675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mountain Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3614 Unicoi Dr, Unicoi, TN 37692 Phone: 276-270-2145 Fax: 276-270-2146 | |