Organization
FIRST MED OF ROGERSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA EVANS (FAMILY NURSE PRACTIONER)
(423) 921-4060
Entity
Organization
Contact information
Practice address
482 PARK BLVD, SUITE 1, ROGERSVILLE, TN 37857-6927
(423) 293-3366
Mailing address
482 PARK BLVD, SUITE 1, ROGERSVILLE, TN 37857-6927
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
APN0000012816
TN
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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