Organization
POLYCLINICS.NET, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M JENKINSON DO (MEDICAL DIRECTOR / OWNER)
(423) 285-1690
Entity
Organization
Contact information
Practice address
721 BRYAN DR, DAYTON, TN 37321-6275
(423) 285-1690
(423) 285-1691
Mailing address
PO BOX 189, SODDY DAISY, TN 37384-0189
(423) 285-1690
(423) 285-1691
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
N/A
TN
261QU0200X
Urgent Care Clinic/Center
N/A
TN
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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