Tennessee Valley Primary Care, PLLC
Family Medicine in Dunlap, TN. Organization (NPI-2).
NPI number1649740366
StatusActive
Last updated in NPPESNov 26, 2018
Details
- NPI
- 1649740366
- Entity type
- Organization (NPI-2)
- Legal business name
- Tennessee Valley Primary Care, PLLC
- Organization subpart
- No
- Enumeration date
- Nov 26, 2018
- Last updated
- Nov 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
15324 Rankin AveDunlap, TN 37327-7050
Phone 423-777-1010 · Fax 423-551-3560
Mailing address
7155 Lee Hwy Ste 200Chattanooga, TN 37421-0801
Phone 423-551-3560
Authorized official
Stephen L Kerley
Ceo
4235513560
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