Organization
SPRING CITY WALK IN MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS ELIZABETH YOUNG (OFFICE MANAGER)
(423) 452-9984
Entity
Organization
Contact information
Practice address
126 LAVENDER ST, SPRING CITY, TN 37381-5102
(423) 452-9984
(423) 452-9980
Mailing address
PO BOX 709, SPRING CITY, TN 37381-0709
(423) 452-9980
(423) 452-9980
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
44-3943
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
443943
RURAL HEALTH CLINIC
TN
Enumeration date
07/21/2006
Last updated
02/09/2021
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