# KNOX COUNTY FAMILY PRACTICE CLINIC

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

## Provider details

- **NPI number:** 1366494080
- **Authorized official:** ROBERT A. CARTER JR. (PRESIDENT)
- **Authorized official phone:** (606) 528-0283

## Contact information

- **Practice address:** 39 CUMBERLAND GAP PLZ, GRAY, KY 40734-4536
- **Practice address phone:** (606) 528-2850
- **Practice address fax:** (606) 528-1131
- **Mailing address:** PO BOX 1125, CORBIN, KY 40702-1125
- **Mailing address phone:** (606) 528-0283
- **Mailing address fax:** (606) 528-8422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 900118 | KY | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 08/22/2020