Wil-Sav Clinical Services PLLC
Clinic/Center in Madisonville, TN. Organization (NPI-2).
NPI number1467119032
StatusActive
Last updated in NPPESJul 19, 2022
Details
- NPI
- 1467119032
- Entity type
- Organization (NPI-2)
- Legal business name
- Wil-Sav Clinical Services PLLC
- Organization subpart
- No
- Enumeration date
- Nov 18, 2021
- Certification date
- Jul 19, 2022
- Last updated
- Jul 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – |
Practice location
4249 Highway 411 Ste 5Madisonville, TN 37354-1544
Phone 423-442-9729 · Fax 423-442-5057
Mailing address
4249 Highway 411 Ste 5Madisonville, TN 37354-1544
Phone 423-442-9729 · Fax 423-442-5057
Authorized official
Bryce Joslin
Authorized Official /Owner
4233684032
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