Organization
CEDAR BLUFF FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA S MCCORMICK NP (NURSE PRACTITIONER/OWNER)
(865) 539-2873
Entity
Organization
Contact information
Practice address
9221 MIDDLEBROOK PIKE, SUITE 102, KNOXVILLE, TN 37931-4764
(865) 539-2873
(865) 539-2969
Mailing address
9221 MIDDLEBROOK PIKE, SUITE 102, KNOXVILLE, TN 37931-4764
(865) 539-2873
(865) 539-2969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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