Wynn Habersham Community Clinic Inc | |
1037 Stinking Creek Rd La Follette TN 37766-6108 | |
(423) 784-5110 | |
Not Available |
Full Name | Wynn Habersham Community Clinic Inc |
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Speciality | Clinic/center - Rural Health |
Location | 1037 Stinking Creek Rd, La Follette, Tennessee |
Authorized Official Name and Position | Charles H. Wilkens (OWNER) |
Authorized Official Contact | 4237845110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wynn Habersham Community Clinic Inc Po Box 946 Jellico TN 37762-0946 Ph: (423) 784-0269 | Wynn Habersham Community Clinic Inc 1037 Stinking Creek Rd La Follette TN 37766-6108 Ph: (423) 784-5110 |
NPI Number | 1417093857 |
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Provider Enumeration Date | 01/30/2007 |
Last Update Date | 07/16/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417093857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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