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Organization

PIGEON FORGE MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERRY BRADLEY MD (PHYSICIAN)
(865) 453-1924
Entity
Organization

Contact information

Practice address
3342 PARKWAY, PIGEON FORGE, TN 37863-3423
(865) 453-1924
(865) 453-1926
Mailing address
3342 PARKWAY, PIGEON FORGE, TN 37863-3423
(865) 453-1924
(865) 453-1926

Taxonomy

Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
TNMD14371
TN

Other

Enumeration date
09/06/2006
Last updated
08/22/2020
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