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Organization

EAST TN PHYSICIANS CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN B. MCSTAY D.C. (CLINIC DIRECTOR)
(865) 525-2121
Entity
Organization

Contact information

Practice address
5917 RUTLEDGE PIKE, KNOXVILLE, TN 37924-2252
(865) 525-2121
(865) 525-7892
Mailing address
5917 RUTLEDGE PIKE, KNOXVILLE, TN 37924-2252
(865) 525-2121
(865) 525-7892

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD16150
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3016063
TN
01
CH7990
RAILROAD MEDICARE
TN
Enumeration date
03/07/2008
Last updated
03/07/2008
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