# MD EXPRESS URGENT CARE LLC

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

## Provider details

- **NPI number:** 1760736201
- **Authorized official:** DR. ROBERT MICKEY MAUGHON MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (865) 429-0260

## Contact information

- **Practice address:** 1548 PARKWAY, SUITE 201, SEVIERVILLE, TN 37862-4019
- **Practice address phone:** (865) 429-0260
- **Practice address fax:** (865) 429-0202
- **Mailing address:** PO BOX 1518, PIGEON FORGE, TN 37868-1518
- **Mailing address phone:** (865) 429-0260
- **Mailing address fax:** (865) 429-0202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | MD16795 | TN | Yes |

## Other

- **Enumeration date:** 11/06/2012
- **Last updated:** 11/06/2012
