Organization
BEAN STATION FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR L VEGA PA-C (OWNER)
(865) 993-1070
Entity
Organization
Contact information
Practice address
1179 HIGHWAY 11W, BEAN STATION, TN 37708-5809
(865) 993-1070
(865) 993-1075
Mailing address
PO BOX 455, BEAN STATION, TN 37708-0455
(865) 993-1070
(865) 993-1075
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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