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Organization
URGENT CARE SERVICES SOUTHEAST PSC
Active
Organization
URGENT CARE SERVICES SOUTHEAST PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY WILSON (DIRECTOR)
(865) 985-7114
Entity
Organization
Contact information
Practice address
1301 N RACE ST, GLASGOW, KY 42141-3454
(270) 651-4444
Mailing address
265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919-4053
(865) 985-7114
(865) 692-5867
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/18/2023
Last updated
08/04/2026
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