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Organization

VITAL CARE CLINIC OF ESTILL SPRINGS

Active
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Organization

VITAL CARE CLINIC OF ESTILL SPRINGS

Active
Other names
Vital Care Clinic of Estill Springs
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMBER NICOLE WOOTEN FNP-BC (OWNER/PROVIDER)
(615) 612-9397
Entity
Organization

Contact information

Practice address
300 S MAIN ST # A, ESTILL SPRINGS, TN 37330-4042
(615) 612-9397
Mailing address
300 S MAIN ST, ESTILL SPRINGS, TN 37330-4042
(615) 612-9397

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
01/15/2024
Last updated
09/30/2026
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