Organization
HEARLAND MEDICAL P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAT G FUGATE (CREDENTIALING)
(423) 626-7297
Entity
Organization
Contact information
Practice address
170 BEECH STREET, SUITE 1, HARROGATE, TN 37752
(423) 626-7297
(423) 851-4704
Mailing address
309 N BROAD ST, NEW TAZEWELL, TN 37825-6600
(423) 626-7297
(423) 851-4704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3715983
—
TN
Enumeration date
09/28/2006
Last updated
09/11/2025
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