Rocky Top Family Med, INC.
Clinic/Center, Rural Health in Morresburg, TN. Organization (NPI-2).
NPI number1841024809
StatusActive
Last updated in NPPESAug 30, 2024
Details
- NPI
- 1841024809
- Entity type
- Organization (NPI-2)
- Legal business name
- Rocky Top Family Med, INC.
- Organization subpart
- No
- Enumeration date
- Aug 30, 2024
- Certification date
- Aug 27, 2024
- Last updated
- Aug 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
Practice location
124 Noland RoadMorresburg, TN 37811
Phone 606-335-2140
Mailing address
139 Repass RdMooresburg, TN 37811-5520
Authorized official
Joshua Proffitt
Medical Director
6063352140
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