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Organization
CLASS 'A' CLINIC LLC
Active
Organization
CLASS 'A' CLINIC LLC
Active
Other names
CLASS 'A' CLINIC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE CROWDER MATTHEWS APN-BC (PRACTITIONER)
(423) 720-9111
Entity
Organization
Contact information
Practice address
833 W HIGHWAY 25 70 STE D, NEWPORT, TN 37821-8045
(423) 720-9111
(423) 301-5756
Mailing address
833 W HIGHWAY 25 70 STE D, NEWPORT, TN 37821-8045
(423) 720-9111
(423) 301-5756
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
16835
TN
261Q00000X
Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
09/05/2018
Last updated
06/06/2025
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