| Holistic Family Care | |
|
1559 Highland Park Dr Lenoir City TN 37772-6237 | |
| (865) 986-0231 | |
| (865) 986-4036 |
| Full Name | Holistic Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1559 Highland Park Dr, Lenoir City, Tennessee |
| Authorized Official Name and Position | Roger D Gaddis (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8659860231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Family Care 1559 Highland Park Dr Lenoir City TN 37772-6237 Ph: (865) 986-0231 | Holistic Family Care 1559 Highland Park Dr Lenoir City TN 37772-6237 Ph: (865) 986-0231 |
| NPI Number | 1144521873 |
|---|---|
| Provider Enumeration Date | 11/11/2010 |
| Last Update Date | 11/11/2010 |
| Medicare PECOS PAC ID | 5496942690 |
|---|---|
| Medicare Enrollment ID | O20101214001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144521873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO1730 (Tennessee) | Primary |
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