Family Medical Care Center, Llc | |
7331 Tazewell Pike Corryton TN 37721-3516 | |
(865) 687-3622 | |
(865) 687-3632 |
Full Name | Family Medical Care Center, Llc |
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Speciality | Nurse Practitioner - Family |
Location | 7331 Tazewell Pike, Corryton, Tennessee |
Authorized Official Name and Position | Jamie Bull (MANAGING MEMBER) |
Authorized Official Contact | 8656873622 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Medical Care Center, Llc 7331 Tazewell Pike Corryton TN 37721-3516 Ph: (865) 687-3622 | Family Medical Care Center, Llc 7331 Tazewell Pike Corryton TN 37721-3516 Ph: (865) 687-3622 |
NPI Number | 1508021890 |
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Provider Enumeration Date | 07/25/2008 |
Last Update Date | 03/17/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508021890 | NPI | - | NPPES |
1521139 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Braden Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7701 Corryton Rd, Corryton, TN 37721 Phone: 865-247-6263 Fax: 865-247-6418 | |
Family Practice Of Corryton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7701 Corryton Rd, Corryton, TN 37721 Phone: 865-247-6263 Fax: 865-992-8103 | |
Corryton Medical Center P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6310 Roberts Rd, Corryton, TN 37721 Phone: 865-688-8815 Fax: 865-688-8831 |