Organization
OKIES CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH CRAINE PHARMD (OWNER/AUTHORIZED OFFICIAL)
(423) 200-6966
Entity
Organization
Contact information
Practice address
1050 RUTLEDGE PIKE, BLAINE, TN 37709-3027
(423) 200-6966
(865) 932-7775
Mailing address
1050 RUTLEDGE PIKE, BLAINE, TN 37709-3027
(423) 200-6966
(865) 932-7775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
09/22/2021
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