Organization
LAFOLLETTE GENERAL SURGERY
Active
Parent organization
MERCY PHYSICAINS SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY PHYSICAINS SERVICES, LLC
Authorized official
SUSANNE NELMS (PRACTICE ADMINISTRATOR/DIRECTOR)
(865) 549-4892
Entity
Organization
Contact information
Practice address
919 E CENTRAL AVE, SUITE 201, LAFOLLETTE, TN 37766-2777
(423) 907-1680
(423) 907-1684
Mailing address
919 E CENTRAL AVE, SUITE 201, LAFOLLETTE, TN 37766-2777
(423) 907-1680
(423) 907-1684
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2009
Last updated
02/05/2010
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