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Nolachucky Medical

Clinic/Center, Primary Care in Erwin, TN. Organization (NPI-2).

NPI number1760109656
StatusActive
Last updated in NPPESOct 21, 2022

Details

NPI
1760109656
Entity type
Organization (NPI-2)
Legal business name
Nolachucky Medical
Organization subpart
No
Enumeration date
Oct 21, 2022
Certification date
Oct 21, 2022
Last updated
Oct 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
261QX0100X Clinic/Center, Occupational Medicine––

Practice location

108 Gay St
Erwin, TN 37650-1228

Phone 210-355-9190

Mailing address

15712 Gallant Ridge Pl
Huntersville, NC 28078-4696

Phone 210-355-9190

Authorized official

George Murphy
Owner
2103559190

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