| Unaka Internal Medicine, Llc | |
|
500 Love St Erwin TN 37650 | |
| (423) 735-4160 | |
| (423) 735-4159 |
| Full Name | Unaka Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Love St, Erwin, Tennessee |
| Authorized Official Name and Position | Charles G Miller (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 4237354160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unaka Internal Medicine, Llc 500 Love Street Erwin TN 37650 Ph: (423) 735-4160 | Unaka Internal Medicine, Llc 500 Love St Erwin TN 37650 Ph: (423) 735-4160 |
| NPI Number | 1619904570 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 07/10/2010 |
| Medicare PECOS PAC ID | 4688687635 |
|---|---|
| Medicare Enrollment ID | O20060726000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619904570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO0000001740 (Tennessee) | Primary |
| Provider Name | Charles G Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366492639 PECOS PAC ID: 1850304403 Enrollment ID: I20060726000263 |
| Provider Name | Whitley Jade Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366922205 PECOS PAC ID: 3870837354 Enrollment ID: I20181211002979 |
| Provider Name | Mikayla Louise Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679234470 PECOS PAC ID: 7719373570 Enrollment ID: I20220404000149 |
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