Organization
URBAN RADIANCE MEDICAL SPA
Active
Other names
Urban Radiance Medical Spa
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER A MULLINS (PRACTICE MANAGER)
(423) 839-0710
Entity
Organization
Contact information
Practice address
5675 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-1031
(423) 839-0710
(689) 232-4757
Mailing address
5675 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-1031
(423) 839-0710
(689) 232-4757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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