Organization
MERCY PRIMARY CARE OF LENIOR CITY
Active
Parent organization
MERCY PHYSICIAN SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY PHYSICIAN SERVICES, LLC
Authorized official
SUSANNE NELMS (EXECUTIVE DIRECTOR)
(865) 549-4892
Entity
Organization
Contact information
Practice address
501 ADESA BLVD STE 300, LENOIR CITY, TN 37771-6863
(865) 987-8692
(865) 988-6296
Mailing address
501 ADESA BLVD STE 300, LENOIR CITY, TN 37771-6863
(865) 987-8692
(865) 988-6296
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2011
Last updated
01/11/2011
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