Organization
COLLEGE PARK WALK-IN CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH D YOUNG (OFFICE MANAGER)
(423) 318-6093
Entity
Organization
Contact information
Practice address
2104 E ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-5412
(423) 318-6093
(423) 318-6297
Mailing address
PO BOX 1237, MORRISTOWN, TN 37816-1237
(423) 318-6093
(423) 318-6297
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
09/27/2007
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