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Organization
EASTLAKE MEDICAL, PLLC
Active
Organization
EASTLAKE MEDICAL, PLLC
Active
Other names
Eastlake Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA MICHELLE MADRON (PRACTICE ADMIN)
(423) 352-6500
Entity
Organization
Contact information
Practice address
2205 JACKSBORO PIKE, LA FOLLETTE, TN 37766-2904
(423) 352-6500
Mailing address
2205 JACKSBORO PIKE, LA FOLLETTE, TN 37766-2904
(423) 352-6500
(423) 352-6501
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
TN
Other
Enumeration date
02/24/2017
Last updated
05/14/2026
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