| West Side Medical Clinic | |
|
9957 Kingston Pike Suite 105 Knoxville TN 37922-6908 | |
| (865) 862-4575 | |
| (865) 909-9397 |
| Full Name | West Side Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 9957 Kingston Pike, Knoxville, Tennessee |
| Authorized Official Name and Position | David M Sellers (OWNER) |
| Authorized Official Contact | 8658624575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Side Medical Clinic 9957 Kingston Pike Suite 105 Knoxville TN 37922-6908 Ph: (865) 862-4575 | West Side Medical Clinic 9957 Kingston Pike Suite 105 Knoxville TN 37922-6908 Ph: (865) 862-4575 |
| NPI Number | 1508297367 |
|---|---|
| Provider Enumeration Date | 12/04/2013 |
| Last Update Date | 01/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508297367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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