# MOBILE MEDICAL MISSION PLLC

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

## Provider details

- **NPI number:** 1558045336
- **Authorized official:** SHERE HOWALD CONWAY MD (OWNER)
- **Authorized official phone:** (865) 205-2942

## Contact information

- **Practice address:** 150 E DIVISION RD STE 1, OAK RIDGE, TN 37830-6997
- **Practice address phone:** (865) 205-2942
- **Practice address fax:** (865) 297-4917
- **Mailing address:** 150 E DIVISION RD STE 1, OAK RIDGE, TN 37830-6997
- **Mailing address phone:** (865) 205-2942
- **Mailing address fax:** (865) 297-4917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2023
- **Last updated:** 06/13/2023