Organization
OAK RIDGE MEDICAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HELEN A. VODOPICK-GOSWITZ M.D. (PHYSICIAN)
(865) 483-7411
Entity
Organization
Contact information
Practice address
170 WEST TENNESSEE AVENUE, OAK RIDGE, TN 37830
(865) 483-7411
(865) 483-7413
Mailing address
170 WEST TENNESSEE AVENUE, OAK RIDGE, TN 37830
(865) 483-7411
(865) 483-7413
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD5413
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3374883
—
TN
01
—
MD5413
STATE LICENSE NUMBER
TN
Enumeration date
06/13/2007
Last updated
07/30/2009
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