Organization
UNICOI COUNTY FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE COLE CAMPBELL M.D. (PRESIDENT OF CORPORATION)
(423) 743-8400
Entity
Organization
Contact information
Practice address
108 GAY STREET, ERWIN, TN 37650
(423) 743-8400
(423) 743-6888
Mailing address
P.O. BOX 759, ERWIN, TN 37650-0759
(423) 743-8400
(423) 743-6888
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25069
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4004557
—
TN
Enumeration date
10/03/2006
Last updated
07/17/2008
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