| Rocky Top Medical Clinic Llc | |
|
1595 Main St Suite B Altamont TN 37301-3639 | |
| (931) 692-5500 | |
| Not Available |
| Full Name | Rocky Top Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1595 Main St, Altamont, Tennessee |
| Authorized Official Name and Position | Lorri Mcgowan (OWNER) |
| Authorized Official Contact | 9316925500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Top Medical Clinic Llc Po Box 40 Altamont TN 37301-0040 Ph: (931) 692-5500 | Rocky Top Medical Clinic Llc 1595 Main St Suite B Altamont TN 37301-3639 Ph: (931) 692-5500 |
| NPI Number | 1184919037 |
|---|---|
| Provider Enumeration Date | 06/17/2011 |
| Last Update Date | 09/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184919037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD0000025899 (Tennessee) | Primary |
Mountain Top Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Main St, Box 219, Altamont, TN 37301 Phone: 931-692-5500 Fax: 931-692-5501 |