# ROCKY TOP MEDICAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184919037
- **Authorized official:** MISS LORRI MCGOWAN (OWNER)
- **Authorized official phone:** (931) 692-5500

## Contact information

- **Practice address:** 1595 MAIN ST, SUITE B, ALTAMONT, TN 37301-3639
- **Practice address phone:** (931) 692-5500
- **Mailing address:** PO BOX 40, ALTAMONT, TN 37301-0040
- **Mailing address phone:** (931) 692-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD0000025899 | TN | Yes |

## Other

- **Enumeration date:** 06/17/2011
- **Last updated:** 09/15/2011