Organization · NPI-2
Medical Center Clinic, INC.
Family Medicine · Tazewell, TN
NPI number1689683427
StatusActive
Last updated in NPPESOct 18, 2018
Details
- NPI
- 1689683427
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Center Clinic, INC.
- Organization subpart
- No
- Enumeration date
- Aug 7, 2006
- Last updated
- Oct 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
409 Cawood RdTazewell, TN 37879-3026
Phone 423-259-5850 · Fax 423-259-5853
Mailing address
409 Cawood RdTazewell, TN 37879-3026
Phone 423-259-5850 · Fax 423-259-5853
Authorized official
Sasha Lashea' Bussell
President/Owner
4232595850
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