# FIRST CARE FAMILY CLINIC LLC

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

## Provider details

- **NPI number:** 1457692667
- **Authorized official:** JIM YOUNG APRN (OWNER)
- **Authorized official phone:** (423) 486-9455

## Contact information

- **Practice address:** 14821 DAYTON PIKE, SUITE B, SALE CREEK, TN 37373
- **Practice address phone:** (423) 486-9455
- **Practice address fax:** (423) 486-9458
- **Mailing address:** 14821 DAYTON PIKE, PO BOX 698, SUITE B, SALE CREEK, TN 37373
- **Mailing address phone:** (423) 486-9455
- **Mailing address fax:** (423) 486-9458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 004944 | TN | Yes |
| 363L00000X | Nurse Practitioner | AP16874 | TN | — |
| 363L00000X | Nurse Practitioner | APN0000005828 | TN | — |

## Other

- **Enumeration date:** 03/13/2013
- **Last updated:** 03/19/2013