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109 Independence Ln Ste 300 La Follette TN 37766-3033 | |
(423) 566-0958 | |
(423) 566-0962 |
Full Name | |
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Speciality | Family Medicine |
Location | 109 Independence Ln, La Follette, Tennessee |
Authorized Official Name and Position | Cynthia B Marquart (VICE PRESIDENT) |
Authorized Official Contact | 8652514346 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 440134 Nashville TN 37244-0134 Ph: (865) 670-6199 | 109 Independence Ln Ste 300 La Follette TN 37766-3033 Ph: (423) 566-0958 |
NPI Number | 1477937712 |
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Provider Enumeration Date | 07/16/2015 |
Last Update Date | 07/22/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477937712 | NPI | - | NPPES |
Q013906 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Tennessee) | Primary |
Eastlake Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 Jacksboro Pike, La Follette, TN 37766 Phone: 423-352-6500 Fax: 423-352-6501 | |
Mercy Cardiology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 E Central Ave, Ste 102, La Follette, TN 37766 Phone: 423-907-1740 | |
Visavis Health Care Medical Group Of Tn Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 136 Davis Ln, La Follette, TN 37766 Phone: 929-491-7333 | |
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