Organization
ROCKY TOP MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LORRI MCGOWAN (OWNER)
(931) 692-5500
Entity
Organization
Contact information
Practice address
1595 MAIN ST, SUITE B, ALTAMONT, TN 37301-3639
(931) 692-5500
Mailing address
PO BOX 40, ALTAMONT, TN 37301-0040
(931) 692-5500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000025899
TN
Other
Enumeration date
06/17/2011
Last updated
09/15/2011
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