Organization
UPPER CUMBERLAND MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE D SWALLOWS FNP (NURSE PRACTITIONER)
(931) 858-2116
Entity
Organization
Contact information
Practice address
319 BROAD ST, BAXTER, TN 38544-5117
(931) 858-2116
(931) 858-2117
Mailing address
PO BOX 175, BAXTER, TN 38544-0175
(931) 858-2116
(931) 858-2117
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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