| |
1901 S Shady St Ste A Mountain City TN 37683-2021 | |
(423) 727-1103 | |
(423) 727-1140 |
Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1901 S Shady St Ste A, Mountain City, Tennessee |
Authorized Official Name and Position | Carl Kilgore (PRESIDENT) |
Authorized Official Contact | 4233023051 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1901 S Shady St Ste A Mountain City TN 37683-2021 Ph: (423) 727-1103 | 1901 S Shady St Ste A Mountain City TN 37683-2021 Ph: (423) 727-1103 |
NPI Number | 1255816252 |
---|---|
Provider Enumeration Date | 09/26/2018 |
Last Update Date | 03/29/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255816252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Donald F Tarr Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 Cold Springs Rd, Mountain City, TN 37683 Phone: 423-727-7743 Fax: 423-727-5509 | |
Donald R Walters Mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 N Church St, Mountain City, TN 37683 Phone: 423-727-7711 Fax: 423-727-0209 | |