| Lenoir Medical Clinic | |
|
308 E Bdwy Lenoir City TN 37771-3043 | |
| (865) 988-5774 | |
| Not Available |
| Full Name | Lenoir Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 308 E Bdwy, Lenoir City, Tennessee |
| Authorized Official Name and Position | Saira K Premji (ADMINISTRATOR) |
| Authorized Official Contact | 8659885774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lenoir Medical Clinic 308 E Broadway Lenoir City TN 37771 Ph: (865) 988-5774 | Lenoir Medical Clinic 308 E Bdwy Lenoir City TN 37771-3043 Ph: (865) 988-5774 |
| NPI Number | 1912966706 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 07/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912966706 | NPI | - | NPPES |
| 3728138 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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