# COALMONT CLINIC

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

## Provider details

- **NPI number:** 1336484500
- **Authorized official:** LORETTA FITZPATRICK (CONSULTANT)
- **Authorized official phone:** (770) 943-5260

## Contact information

- **Practice address:** 38 INDUSTRIAL PARK ROAD, COALMONT, TN 37313
- **Practice address phone:** (931) 598-9761
- **Mailing address:** 38 SOUTH INDUSTRIAL PARK RD, COALMONT, TN 37313
- **Mailing address phone:** (931) 598-9761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2012
- **Last updated:** 11/29/2012