Organization
VALLEY MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIF SHAFI M.D. (OWNER)
(423) 942-3756
Entity
Organization
Contact information
Practice address
980 HIGHWAY 28, SUITE 100, JASPER, TN 37347-3695
(423) 939-1500
(423) 939-1503
Mailing address
980 HIGHWAY 28, SUITE 100, JASPER, TN 37347-3695
(423) 939-1500
(423) 939-1503
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
026768
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161481
—
AL
05
—
Q012469
—
TN
Enumeration date
04/10/2014
Last updated
07/02/2024
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