Organization
MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY HARDIN (CREDENTIALING)
(423) 431-0512
Entity
Organization
Contact information
Practice address
1500 W ELK AVE, ELIZABETHTON, TN 37643-2654
(423) 431-0512
(423) 722-2060
Mailing address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 431-0512
(423) 722-2060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/25/2008
Last updated
06/01/2015
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