Organization
UNICOI COUNTY MEDICAL SERVICES, INC.
Active
Other names
Nolichucky Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM PATE (PRESIDENT/CEO)
(423) 735-5700
Entity
Organization
Contact information
Practice address
630 ONEEGA LN, SUITE A, ERWIN, TN 37650-2197
(423) 735-5700
Mailing address
630 ONEEGA LN, SUITE A, ERWIN, TN 37650-2197
(423) 735-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525071
—
TN
Enumeration date
05/09/2011
Last updated
02/09/2012
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