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Organization
CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC
Active
Organization
CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC
Active
Other names
Clinch Valley Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
111 FASHION RD STE D, POUNDING MILL, VA 24637-1200
(276) 596-6375
(276) 963-0920
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/20/2023
Last updated
09/24/2024
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