| Msmg Im Uni | |
|
3614 Unicoi Dr Unicoi TN 37692-6860 | |
| (423) 743-7151 | |
| (423) 743-7059 |
| Full Name | Msmg Im Uni |
|---|---|
| Speciality | Internal Medicine |
| Location | 3614 Unicoi Dr, Unicoi, Tennessee |
| Authorized Official Name and Position | Carl Steven Kilgore (PRESIDENT) |
| Authorized Official Contact | 4239522122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Msmg Im Uni 509 Med Tech Pkwy Suite 100 Johnson City TN 37604-2578 Ph: (423) 952-2122 | Msmg Im Uni 3614 Unicoi Dr Unicoi TN 37692-6860 Ph: (423) 743-7151 |
| NPI Number | 1629310115 |
|---|---|
| Provider Enumeration Date | 03/22/2013 |
| Last Update Date | 09/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629310115 | NPI | - | NPPES |
| 1532914 | Medicaid | TN | |
| 020487840 | Other | TN | DEPT OF LABOR |
| CA5744 | Other | TN | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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 | |
Dba Unicoi Valley Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3614 Unicoi Dr, Unicoi, TN 37692 Phone: 423-743-7151 Fax: 423-743-7159 |