# FAMILY MEDICAL CLINIC OF HARROGATE, P.C.

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

## Provider details

- **NPI number:** 1417107210
- **Authorized official:** DR. JOHN MICHAEL ROBERTSON M.D. (OWNER)
- **Authorized official phone:** (423) 869-3684

## Contact information

- **Practice address:** 170 BEECH ST STE 1, HARROGATE, TN 37752-8206
- **Practice address phone:** (423) 869-3684
- **Practice address fax:** (423) 869-5460
- **Mailing address:** PO BOX 750, HARROGATE, TN 37752-0750
- **Mailing address phone:** (423) 869-3684
- **Mailing address fax:** (423) 869-5460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2008
- **Last updated:** 02/20/2024