Organization
KING'S WAY FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER OLSON NURSE PRACTITIONER (OWNER/PROVIDER)
(386) 801-3083
Entity
Organization
Contact information
Practice address
318 TUSCULUM BLVD, GREENEVILLE, TN 37745-3926
(423) 639-7700
(423) 639-7700
Mailing address
318 TUSCULUM BLVD, GREENEVILLE, TN 37745-3926
(386) 837-2969
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/30/2019
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