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Organization
FIRST CARE FAMILY CLINIC LLC
Active
Organization
FIRST CARE FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM YOUNG APRN (OWNER)
(423) 486-9455
Entity
Organization
Contact information
Practice address
14821 DAYTON PIKE, SUITE B, SALE CREEK, TN 37373
(423) 486-9455
(423) 486-9458
Mailing address
14821 DAYTON PIKE, PO BOX 698, SUITE B, SALE CREEK, TN 37373
(423) 486-9455
(423) 486-9458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
004944
TN
363L00000X
Nurse Practitioner
AP16874
TN
363L00000X
Nurse Practitioner
APN0000005828
TN
Other
Enumeration date
03/13/2013
Last updated
03/19/2013
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