| Vip Primary Care Llc | |
|
933 E Tri County Blvd Oliver Springs TN 37840-1838 | |
| (865) 314-0092 | |
| (865) 730-4250 |
| Full Name | Vip Primary Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 933 E Tri County Blvd, Oliver Springs, Tennessee |
| Authorized Official Name and Position | Troyal Lynn Craig (OWNER) |
| Authorized Official Contact | 8653140092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Primary Care Llc 933 E Tri County Blvd Oliver Springs TN 37840-1838 Ph: (865) 314-0092 | Vip Primary Care Llc 933 E Tri County Blvd Oliver Springs TN 37840-1838 Ph: (865) 314-0092 |
| NPI Number | 1124791975 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 11/07/2024 |
| Medicare PECOS PAC ID | 0941698922 |
|---|---|
| Medicare Enrollment ID | O20211025000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124791975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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