# URGENT CARE SPECIALISTS LLC

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

## Provider details

- **NPI number:** 1730590324
- **Authorized official:** JERRY KEITH GOUGE P.A. (OWNER)
- **Authorized official phone:** (865) 414-9346

## Contact information

- **Practice address:** 8861 KINGSTON PIKE, KNOXVILLE, TN 37923-5002
- **Practice address phone:** (865) 281-5415
- **Practice address fax:** (865) 281-5337
- **Mailing address:** 8861 KINGSTON PIKE, KNOXVILLE, TN 37923-5002
- **Mailing address phone:** (865) 281-5415
- **Mailing address fax:** (865) 281-5337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | PA1728 | TN | — |

## Other

- **Enumeration date:** 05/16/2014
- **Last updated:** 11/24/2015
