# BRADLEY POLK WALK IN CLINIC

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

## Provider details

- **NPI number:** 1770929333
- **Authorized official:** TAMI SOLBERG BREHEN NP-C (CO-OWNER)
- **Authorized official phone:** (423) 299-9435

## Contact information

- **Practice address:** 119 WHITE WATER DR, OCOEE, TN 37361-3645
- **Practice address phone:** (423) 299-9435
- **Mailing address:** 119 WHITE WATER DR, OCOEE, TN 37361-3645
- **Mailing address phone:** (423) 299-9435
- **Mailing address fax:** (423) 299-9436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | APN15727 | TN | — |

## Other

- **Enumeration date:** 05/21/2013
- **Last updated:** 11/08/2019