Organization
SCOTT O CAUDLE
Active
Other names
Mountain Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT OKRINA CAUDLE MD (OWNER DOCTOR)
(423) 543-8619
Entity
Organization
Contact information
Practice address
1503 W ELK AVE STE 3, ELIZABETHTON, TN 37643-2883
(423) 543-6660
(423) 543-5133
Mailing address
1503 W ELK AVE STE 3, ELIZABETHTON, TN 37643-2883
(423) 543-6660
(423) 543-5133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN12619
TN
Other
Enumeration date
07/06/2007
Last updated
08/31/2021
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