Organization
THE FAMILY PRACTICE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID H MCCONNELL MD (PRESIDENT/DOCTOR)
(423) 623-6240
Entity
Organization
Contact information
Practice address
407 4TH ST, NEWPORT, TN 37821-3755
(423) 623-6240
(423) 623-0102
Mailing address
407 4TH ST, NEWPORT, TN 37821-3755
(423) 623-6240
(423) 623-0102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338449
—
TN
01
—
MD11046
MEDICAL LIC - MTH
TN
01
—
MD16178
MEDICAL LIC - KLH
TN
01
—
MD17859
MEDICAL LIC - DJK
TN
01
—
MD35295
MEDICAL LIC - JAB
TN
01
—
MD7410
MEDICAL LIC - AJG
TN
01
—
TN5602
MEDICAL LIC - DHMC
TN
Enumeration date
10/21/2005
Last updated
08/22/2020
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