| Nolichucky Medical Associates | |
|
630 Oneega Ln Suite A Erwin TN 37650-2197 | |
| (423) 735-5700 | |
| Not Available |
| Full Name | Nolichucky Medical Associates |
|---|---|
| Speciality | General Practice |
| Location | 630 Oneega Ln, Erwin, Tennessee |
| Authorized Official Name and Position | Jim Pate (PRESIDENT/CEO) |
| Authorized Official Contact | 4237355700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nolichucky Medical Associates 630 Oneega Ln Suite A Erwin TN 37650-2197 Ph: (423) 735-5700 | Nolichucky Medical Associates 630 Oneega Ln Suite A Erwin TN 37650-2197 Ph: (423) 735-5700 |
| NPI Number | 1164714234 |
|---|---|
| Provider Enumeration Date | 05/09/2011 |
| Last Update Date | 02/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164714234 | NPI | - | NPPES |
| 1525071 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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