| Multispecialty Medical P.c. | |
|
1610 Tazewell Rd Se 201 Tazewell TN 37879-3600 | |
| (423) 626-8393 | |
| (423) 626-8749 |
| Full Name | Multispecialty Medical P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1610 Tazewell Rd, Tazewell, Tennessee |
| Authorized Official Name and Position | Amy Lamb (SECRETARY) |
| Authorized Official Contact | 4236268393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Multispecialty Medical P.c. 1610 Tazewell Rd Se 201 Tazewell TN 37879-3600 Ph: (423) 626-8393 | Multispecialty Medical P.c. 1610 Tazewell Rd Se 201 Tazewell TN 37879-3600 Ph: (423) 626-8393 |
| NPI Number | 1548392491 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 02/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548392491 | NPI | - | NPPES |
| 3370382 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 38563 (Tennessee) | Primary |
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