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Organization

TLC MOBILE CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRI LYNN WOODRUFF APN (APN/ OWNER)
(423) 491-9741
Entity
Organization

Contact information

Practice address
111 N MAIN AVE, ERWIN, TN 37650-1255
(423) 491-9741
(423) 220-3211
Mailing address
PO BOX 293, ERWIN, TN 37650-0293
(423) 491-9741
(423) 220-3211

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
04/26/2023
Last updated
04/26/2023
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