| |
109 Independence Ln Ste 200 La Follette TN 37766-3033 | |
(423) 562-4968 | |
(423) 562-5603 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 109 Independence Ln, La Follette, Tennessee |
Authorized Official Name and Position | Beth A Maynard (VICE PRESIDENT) |
Authorized Official Contact | 8653056427 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 415000-msc8173 Nashville TN 37241-8173 Ph: (865) 670-6199 | 109 Independence Ln Ste 200 La Follette TN 37766-3033 Ph: (423) 562-4968 |
NPI Number | 1629099866 |
---|---|
Provider Enumeration Date | 07/22/2006 |
Last Update Date | 06/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629099866 | NPI | - | NPPES |
3709361 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | 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 | |
Wynn Habersham Community Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1037 Stinking Creek Rd, La Follette, TN 37766 Phone: 423-784-5110 |