# FAMILY MEDICINE WEST PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Medicine West of Wartburg
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902292865
- **Authorized official:** DR. SANJAY P THANKUR M.D. (MD/PRESIDENT)
- **Authorized official phone:** (423) 346-5566

## Contact information

- **Practice address:** 1236 KNOXVILLE HWY, SUITE 500, WARTBURG, TN 37887-4200
- **Practice address phone:** (423) 346-5566
- **Practice address fax:** (423) 346-5631
- **Mailing address:** 220 FORT SANDERS WEST BLVD, BUILDING 2, SUITE 200, KNOXVILLE, TN 37922-3398
- **Mailing address phone:** (423) 346-5566
- **Mailing address fax:** (423) 346-5631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | TN | Yes |

## Other

- **Enumeration date:** 04/07/2015
- **Last updated:** 04/07/2015