# FAMILY AND SPORTS MEDICINE PC

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

## Provider details

- **NPI number:** 1588657977
- **Authorized official:** DR. KIRK ALEXANDER WILCOX MD (MD/PRESIDENT)
- **Authorized official phone:** (423) 870-2030

## Contact information

- **Practice address:** 1025 EXECUTIVE DR, SUITE 100, HIXSON, TN 37343-7916
- **Practice address phone:** (423) 870-2030
- **Practice address fax:** (423) 875-6405
- **Mailing address:** 1025 EXECUTIVE DR, SUITE 100, HIXSON, TN 37343-7916
- **Mailing address phone:** (423) 870-2030
- **Mailing address fax:** (423) 875-6405

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2005
- **Last updated:** 03/22/2011