Organization
EAST TN FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MICKEY MAUGHON M.D. (OWNER/PHYSICIAN)
(865) 429-0208
Entity
Organization
Contact information
Practice address
1548 PARKWAY, SUITE 201, SEVIERVILLE, TN 37862-4019
(865) 429-0208
(865) 429-0202
Mailing address
PO BOX 1518, PIGEON FORGE, TN 37868-1518
(865) 429-0208
(865) 429-0202
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD16795
TN
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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