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Organization

HEARTLAND MEDICAL, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY S. PARKEY (PRACTICE ADMINISTRATOR)
(423) 626-7297
Entity
Organization

Contact information

Practice address
309 N BROAD ST, NEW TAZEWELL, TN 37825-6600
(423) 626-7297
(423) 626-5553
Mailing address
309 N BROAD ST, NEW TAZEWELL, TN 37825-6600
(423) 626-7297
(423) 626-5553

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44-3965
RURAL HEALTH PROVIDER NUMBER
TN
Enumeration date
08/06/2008
Last updated
08/06/2008
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