| Erwin Medical Clinic | |
|
1201 N Main Ave Ste 3 Erwin TN 37650-9168 | |
| (423) 743-9994 | |
| (423) 743-9995 |
| Full Name | Erwin Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1201 N Main Ave, Erwin, Tennessee |
| Authorized Official Name and Position | Randall Dixon (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 4237439994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erwin Medical Clinic 3101 Browns Mill Rd Ste 6-222 Johnson City TN 37604-4100 Ph: (423) 743-9994 | Erwin Medical Clinic 1201 N Main Ave Ste 3 Erwin TN 37650-9168 Ph: (423) 743-9994 |
| NPI Number | 1629073630 |
|---|---|
| Provider Enumeration Date | 06/16/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629073630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 00000187 (Tennessee) | Primary |
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