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Organization
PIKEVILLE CLINIC, LLC
Active
Organization
PIKEVILLE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH E. BOYNTON APN (MEMBER)
(423) 447-2955
Entity
Organization
Contact information
Practice address
3062 MAIN ST, PIKEVILLE, TN 37367-5746
(423) 447-2955
(423) 447-2405
Mailing address
PO BOX 349, PIKEVILLE, TN 37367-0349
(423) 447-2955
(423) 447-2405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/06/2010
Last updated
11/21/2013
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