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Organization

ROANE URGENT CARE CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COREY E PAYNE FNP (OWNER)
(865) 255-3310
Entity
Organization

Contact information

Practice address
2497 S. ROANE ST, SUITE 110 B, HARRIMAN, TN 37748
(865) 255-3310
(865) 590-0196
Mailing address
2497 S. ROANE ST, SUITE 110B, HARRIMAN, TN 37748
(865) 255-3310
(865) 590-0196

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295167351
PERSONAL NPI
TN
Enumeration date
10/29/2013
Last updated
02/21/2014
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