Organization
PREMIER CARE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN P CLARKE (OWNER)
(865) 281-5922
Entity
Organization
Contact information
Practice address
3609 OUTDOOR SPORTSMAN PL STE 7, KODAK, TN 37764-1477
(865) 210-3452
Mailing address
3609 OUTDOOR SPORTSMAN PL STE 7, KODAK, TN 37764-1477
(865) 210-3452
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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