Organization
FAMILY MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN WILFRED GARST MD (SOLE MBR)
(423) 761-0085
Entity
Organization
Contact information
Practice address
144 MEDICAL CENTER DR STE C, COPPERHILL, TN 37317-5006
(423) 548-1500
(423) 548-1604
Mailing address
PO BOX 726, DUCKTOWN, TN 37326-0726
(423) 761-0085
(423) 496-4840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD21234
TN
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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